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Individual
CASS MABBUTT
Active
Individual
CASS MABBUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, EAMP
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-245
ID
171100000X
Acupuncturist
WA60069719
WA
Other
Enumeration date
02/03/2009
Last updated
07/19/2011
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