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Individual

DR. REBECCA LYNN CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.M.D.

Contact information

Practice address
1615 E WARNER RD, SUITE 1, TEMPE, AZ 85284-4500
(480) 831-5370
(480) 820-0081
Mailing address
1615 E WARNER RD, SUITE 1, TEMPE, AZ 85284-4500
(480) 831-5370
(480) 820-0081

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
02-693
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
EIN 82--578360
EIN NUMBER
AZ
Enumeration date
04/03/2007
Last updated
10/01/2008
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