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Organization
PIN AND TONICS
Active
Organization
PIN AND TONICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH MICHEL LAC (OWNER)
(541) 523-5740
Entity
Organization
Contact information
Practice address
3370 10TH ST STE C, BAKER CITY, OR 97814-1467
(541) 523-5740
Mailing address
2995 COLLEGE ST, BAKER CITY, OR 97814-1827
(541) 523-5740
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC165015
OR
Other
Enumeration date
05/09/2014
Last updated
02/14/2017
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