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Individual
SAM MITCHELL WISOTSKY
Active
Individual
SAM MITCHELL WISOTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
19100
CA
225700000X
Massage Therapist
64329
CA
Other
Enumeration date
11/12/2018
Last updated
04/26/2021
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