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Individual

CAROL SUE LEVEQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AP

Contact information

Practice address
12621 NEW BRITTANY BLVD, BLD 17, FORT MYERS, FL 33907-3631
(239) 274-6188
(239) 274-6186
Mailing address
12621 NEW BRITTANY BLVD, BLD 17, FORT MYERS, FL 33907-3631
(239) 274-6188
(239) 274-6186

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 914
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP 914
LICENSED ACUPUNCTURIST
FL
Enumeration date
05/20/2006
Last updated
07/08/2007
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