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Individual

TAMMY LEE DIPPENWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LIC. AP

Contact information

Practice address
3722 S CONWAY RD, ORLANDO, FL 32812-7608
(321) 303-5946
Mailing address
3722 S CONWAY RD, ORLANDO, FL 32812-7608
(321) 303-5946

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 2518
FL

Other

Enumeration date
02/19/2008
Last updated
02/19/2009
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