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Individual
MR. RYAN DAVID MEHMANDOOST-GAUTHIER
Active
Individual
MR. RYAN DAVID MEHMANDOOST-GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5402000167
MI
171100000X
Acupuncturist
AC156213
OR
Other
Enumeration date
09/29/2011
Last updated
09/10/2025
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