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State your estimated amounts of total revenue Fee for Service or Salary Do your product sales exceed 250 000 per year Last 12 Months Estimate for next 12 months If yes state your sales EDUCATION AND LICENSE INFORMATION Name of institution where you received your naturopathic training Year/Month Graduated List all designations and associated services you wish to have covered i.e. ND NMD LAc RPh ND License List the states where you will practice Do you have a DEA license Yes If yes what...
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