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Individual

KENYA BY'SHA VINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMT, CAM

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
172P00000X
Naprapath
173C00000X
Reflexologist
175L00000X
Homeopath
Primary
374K00000X
Religious Nonmedical Practitioner

Other

Enumeration date
07/30/2017
Last updated
07/30/2017
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