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Individual

MRS. AMBER MABE KENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L. AC.

Contact information

Practice address
4204 KING EDWARD CT, GREENSBORO, NC 27455-2569
(336) 215-8966
Mailing address
4204 KING EDWARD CT, GREENSBORO, NC 27455-2569
(336) 215-8966

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
LAC-953
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LAC-953
NCALB
NC
Enumeration date
11/30/2017
Last updated
11/30/2017
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