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Organization
MANIFEST HEALTH & WELLNESS ACUPUNCTURE, INC.
Active
Organization
MANIFEST HEALTH & WELLNESS ACUPUNCTURE, INC.
Active
Other names
Manifest Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOLIN DURRANT DACM, L.AC. (CEO)
(858) 333-7907
Entity
Organization
Contact information
Practice address
4501 MISSION BAY DR STE 2D, SAN DIEGO, CA 92109-4925
(858) 333-7907
Mailing address
1443 GOLDEN GATE DR, SAN DIEGO, CA 92116-1138
(619) 550-6461
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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