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Individual

MS. JAMIE LORETTE GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
6515 SANGER AVE STE 1, WACO, TX 76710-7806
(254) 759-8050
Mailing address
6515 SANGER AVE STE 1, WACO, TX 76710-7806
(254) 759-8050

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00741
TX

Other

Enumeration date
05/04/2006
Last updated
06/23/2008
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