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Individual
MR. MICHAEL C MCMAHON
Active
Individual
MR. MICHAEL C MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, LMT
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
OR 156717
OR
174400000X
Specialist
OREGON LMT 14129
OR
Other
Enumeration date
06/19/2009
Last updated
11/27/2012
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