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Individual

DEBORAH A. WIANCEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.D.

Contact information

Practice address
280 MAIN ST UNIT C-105, EDWARDS, CO 81632-8501
(970) 926-7606
(970) 926-7606
Mailing address
280 MAIN ST UNIT C-105, EDWARDS, CO 81632-8501
(970) 926-7606
(970) 926-7606

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
846
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
846
CONFINITY
WA
Enumeration date
08/07/2008
Last updated
08/07/2008
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