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Individual
MS. LARA JOAN KOLJONEN
Active
Individual
MS. LARA JOAN KOLJONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
12326
CA
172M00000X
Mechanotherapist
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/18/2010
Last updated
07/14/2014
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