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Individual

GRACE WATHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5377 N 4400 W, CEDAR CITY, UT 84721-5609
(385) 256-0022
Mailing address
5377 N 4400 W, CEDAR CITY, UT 84721-5609
(385) 256-0022

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
11921654-1201
UT
171100000X
Acupuncturist
18517
CA

Other

Enumeration date
01/02/2020
Last updated
04/14/2026
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