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Individual
KELLYN MISSET
Active
Individual
KELLYN MISSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
000718
CT
175F00000X
Naturopath
Primary
000616
CT
Other
Enumeration date
11/05/2012
Last updated
11/05/2020
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