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Individual
DR. MARCIA LYNNE NIBERT
Active
Individual
DR. MARCIA LYNNE NIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C., LAC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1689
SC
171100000X
Acupuncturist
49
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U457480281
MEDICARE ID
SC
Enumeration date
05/23/2005
Last updated
03/26/2020
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