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Individual
MR. HAROLD RYAN LILLY
Active
Individual
MR. HAROLD RYAN LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, EAMP
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60392092
WA
171100000X
Acupuncturist
MED-ACU-LIC-26569
MT
171100000X
Acupuncturist
OM000165
PA
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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