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Individual

MR. RYAN JAMES GIRARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
29692 ELLENSBURG AVE, GOLD BEACH, OR 97444-8701
(541) 247-2030
Mailing address
PO BOX 429, PORT ORFORD, OR 97465-0429
(541) 373-0272

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC152617
OR

Other

Enumeration date
03/08/2011
Last updated
03/08/2011
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