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Organization
RAVEN NATURAL HEALTH PLLC
Active
Organization
RAVEN NATURAL HEALTH PLLC
Active
Other names
Brendon Fegan LAc, Rebel Med NW
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDON FEGAN LAC (OWNER, ACUPUNCTURIST)
(734) 904-2045
Entity
Organization
Contact information
Practice address
5401 LEARY AVE NW STE 204, SEATTLE, WA 98107-4070
(206) 297-6013
Mailing address
1037 NE 65TH ST STE 365, SEATTLE, WA 98115-6655
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
NULL
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
02/21/2020
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