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Individual

MS. HEATHER L VANDEBURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
547 W STATE ST, SYCAMORE, IL 60178-1327
(815) 751-6424
Mailing address
547 W STATE ST, SYCAMORE, IL 60178-1327
(815) 751-6424

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0404
AZ
171100000X
Acupuncturist
1065
CO
171100000X
Acupuncturist
Primary
198-000562
IL
171100000X
Acupuncturist
434-055
WI
171100000X
Acupuncturist
AC00002618
WA

Other

Enumeration date
11/13/2006
Last updated
08/13/2008
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