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Individual
EVAN LEBOW-WOLF
Active
Individual
EVAN LEBOW-WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP, EAMP
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 60268399
WA
225700000X
Massage Therapist
MA 60268328
WA
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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