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Individual

MONIQUE MUELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
121 E GRINNELL PLZ, SHERIDAN, WY 82801-3951
(910) 200-1220
Mailing address
PO BOX 7171, SHERIDAN, WY 82801-7003
(910) 200-1220

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
030
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030
ACUPUNCTURE LICENSE #
WY
Enumeration date
04/10/2022
Last updated
04/10/2022
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