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Organization
MAPLE LEAF HEALING ARTS CLINIC
Active
Organization
MAPLE LEAF HEALING ARTS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL MICHELLE CLEVENGER L.M.P., L.AC. (OWNER)
(206) 595-4512
Entity
Organization
Contact information
Practice address
9200 ROOSEVELT WAY NE, SEATTLE, WA 98115-2842
(206) 527-4568
Mailing address
9200 ROOSEVELT WAY NE, SEATTLE, WA 98115
(206) 595-4512
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00002247
WA
174400000X
Specialist
MA00011147
WA
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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