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1104240662
LISABETH DETWILER
ALBUQUERQUE, NM
NPI
1104240662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: NM 1127)
Enumeration Date
2014-02-04
Last Update Date
2014-09-23
Business Address
-- LISABETH DETWILER DOM
3904 CENTRAL AVE SE
ALBUQUERQUE, NM 87108-1017
Phone number: 505-266-0881
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Mailing Address
-- LISABETH DETWILER DOM
2433 CARDENAS DR NE
ALBUQUERQUE, NM 87110-4113
Phone number:
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