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Individual
DR. PATRICIA GRACE WENTWORTH
Active
Individual
DR. PATRICIA GRACE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C., ATC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6191200
NH
2255A2300X
Athletic Trainer
393
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05Y003913NH01
ANTHEM
NH
01
—
623901
CIGNA
NH
01
—
AA19646
HPHC
NH
Enumeration date
10/02/2006
Last updated
08/20/2009
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