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Individual

KRISTIN TEN BROECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
109 BRADY CT, CARY, NC 27511-4554
(919) 230-2456
(919) 594-6254
Mailing address
109 BRADY CT, CARY, NC 27511-4554
(919) 230-2456
(919) 594-6254

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
861
NC

Other

Enumeration date
02/13/2017
Last updated
02/13/2017
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