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Individual
WENDY E SQUIRE
Active
Individual
WENDY E SQUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
CA10655
CA
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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