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Individual

SUSAN MCKIBBEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
130 N ASHE ST, SOUTHERN PINES, NC 28387-5502
(910) 724-3455
Mailing address
130 N ASHE ST, SOUTHERN PINES, NC 28387-5502

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
559
NC

Other

Enumeration date
07/21/2016
Last updated
07/21/2016
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