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Organization
GREAT RIVER LLC
Active
Organization
GREAT RIVER LLC
Active
Other names
Hey Moon Community Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE KAMPMANN L.AC. (OWNER)
(509) 416-6191
Entity
Organization
Contact information
Practice address
40 SW CASCADE AVE # 40F, STEVENSON, WA 98648-6284
(509) 416-6191
Mailing address
PO BOX 1351, STEVENSON, WA 98648-1351
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
NULL
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
Other
Enumeration date
05/02/2024
Last updated
10/29/2024
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