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Individual

MS. PATRICIA IMMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
1234 RHODODENDRON DR, SUITE 1-B, FLORENCE, OR 97439-7406
(541) 902-8860
(541) 902-8860
Mailing address
PO BOX 2746, FLORENCE, OR 97439-0165
(541) 902-8860
(541) 902-8860

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00447
OR

Other

Enumeration date
02/08/2008
Last updated
02/08/2008
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