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1679025605
JENNIFER PROVIDENCE
TUCSON, AZ
NPI
1679025605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: AZ 1046)
Enumeration Date
2016-10-25
Last Update Date
2016-10-25
Business Address
-- JENNIFER PROVIDENCE LAc
300 S PARK AVE
TUCSON, AZ 85719-6130
Phone number: 520-332-5509
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Mailing Address
-- JENNIFER PROVIDENCE LAc
3349 E PRESIDIO RD
TUCSON, AZ 85716-1633
Phone number: 520-332-5509
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