ROXENE BATES

PROVIDENCE, UT
NPI1053775692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: UT  9654360-1201)
Enumeration Date2016-04-10
Last Update Date2016-04-10
Business Address
-- ROXENE BATES LAc, Dipl OM
19 S MAIN ST
PROVIDENCE, UT 84332-9786
Phone number: 818-519-5083
Mailing Address
-- ROXENE BATES LAc, Dipl OM
PO BOX 1
PROVIDENCE, UT 84332-0001
Phone number: 818-519-5083
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