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Individual

AUTUMN BEAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC

Contact information

Practice address
5532 LILLEHAMMER LN STE 102, PARK CITY, UT 84098-6078
(435) 659-7633
(971) 397-0394
Mailing address
5532 LILLEHAMMER LN STE 102, PARK CITY, UT 84098-6078
(646) 415-1406
(971) 397-0394

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0042741
NY
171100000X
Acupuncturist
Primary
11896562-1201
UT

Other

Enumeration date
03/25/2010
Last updated
07/23/2025
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