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Individual
MICHAEL MORAN
Active
Individual
MICHAEL MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
198001421
IL
171100000X
Acupuncturist
Primary
320569
LA
173C00000X
Reflexologist
227015336
IL
Other
Enumeration date
10/14/2016
Last updated
09/02/2019
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