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Individual
MRS. JACQUELYNE RENEE ANTON
Active
Individual
MRS. JACQUELYNE RENEE ANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBC-HWC AND M.S.
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
ID-A3435452
ID
247200000X
Other Technician
PSG-055
ID
Other
Enumeration date
10/27/2015
Last updated
01/24/2022
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