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Individual
DR. KRIS JUSTESEN
Active
Individual
DR. KRIS JUSTESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OMD, ND, LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
101052-1201
UT
171100000X
Acupuncturist
AC3838
CA
175F00000X
Naturopath
PENDING
ID
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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