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Individual
STEPHANIE PETROW
Active
Individual
STEPHANIE PETROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17183
CA
Other
Enumeration date
05/26/2016
Last updated
01/26/2017
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