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Individual
HEIDI LYNN WITHEY
Active
Individual
HEIDI LYNN WITHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, EAMP
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
154420
OR
171100000X
Acupuncturist
Primary
AC60248752
WA
Other
Enumeration date
04/26/2011
Last updated
04/22/2014
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