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Individual
TONY HAVENS
Active
Individual
TONY HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
ACC222417
OR
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
12547
OR
225700000X
Massage Therapist
Primary
—
OR
Other
Enumeration date
01/09/2018
Last updated
09/19/2024
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