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Individual
KIRSTEN MARIE THOMASSEN
Active
Individual
KIRSTEN MARIE THOMASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EAMP, L.AC., DIPL.AC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
5401000102
MI
171100000X
Acupuncturist
Primary
AC 60354712
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114387560
NPI TYPE 2
WA
Enumeration date
05/26/2016
Last updated
05/26/2016
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