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Individual

JANET WILLIE

Active
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Individual

JANET WILLIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.N., L.M.T.

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN13076
ME
174H00000X
Health Educator
MT9
CO
225700000X
Massage Therapist
Primary
MT9
CO

Other

Enumeration date
10/23/2013
Last updated
10/23/2013
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