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Individual
DR. KACY LEANN BORBA SPANN
Active
Individual
DR. KACY LEANN BORBA SPANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D., LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC167588
OR
174400000X
Specialist
20290
OR
175F00000X
Naturopath
Primary
2022
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500680362
—
OR
05
—
500688613
—
OR
Enumeration date
04/08/2014
Last updated
01/28/2022
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