Individual
MS. TALENA WILSON DEBAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC, MAC, LAC
Contact information
Practice address
308 N SAGE ST, PEARCE, AZ 85625-4009
(520) 444-2349
Mailing address
PO BOX 493, PEARCE, AZ 85625-0493
(520) 444-2349
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
089
AZ
173C00000X
Reflexologist
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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