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Mistie Jo Pack Acupuncturist

CA Licensed Acupuncturist 17000

NameMistie Jo Pack
License Number17000
Address1917 Cheyenne Way
Modesto, CA 95356
CountyStanislaus
License StatusDelinquent
License Original Issue Date4/26/2016
License Expiration Date1/31/2022
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolFive Branches Institute
Individual or OrganizationIndividual

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