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Individual
MS. EILEEN DURHAM
Active
Individual
MS. EILEEN DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC., MACOM
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
179792
OR
171100000X
Acupuncturist
Primary
6065608
WA
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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