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Individual

CASSANDRA ROSALIE RUNGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
3535 E BROWN RD STE 101, MESA, AZ 85213-5602
(480) 924-1987
Mailing address
3535 E BROWN RD STE 101, MESA, AZ 85213-5602
(480) 924-1987

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
198-001434
IL
171100000X
Acupuncturist
Primary
LAC-010071
AZ

Other

Enumeration date
08/29/2018
Last updated
12/12/2019
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