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Individual
HUAN-WEN FANG
Active
Individual
HUAN-WEN FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIC. AC.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
220800
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154538965
LAC
MA
Enumeration date
05/17/2007
Last updated
02/12/2019
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