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Individual
JULIA MORTLOCK
Active
Individual
JULIA MORTLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC164766
OR
171100000X
Acupuncturist
AC60416884
WA
175F00000X
Naturopath
2012
OR
175F00000X
Naturopath
Primary
NT60416820
WA
Other
Enumeration date
11/07/2013
Last updated
09/26/2015
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