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Individual

JESSICA LANGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC

Contact information

Practice address
18 N MAIN ST, WHITE RIVER JUNCTION, VT 05001-7062
(619) 876-0064
Mailing address
341 WOODS LN, THETFORD CENTER, VT 05075-4410

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
091.0134027
VT

Other

Enumeration date
09/27/2020
Last updated
09/27/2020
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