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Individual

DERECK DESMOND SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
910 NE D ST, GRANTS PASS, OR 97526-2325
(541) 476-4611
Mailing address
189 SMOKEY LN, GRANTS PASS, OR 97527-4840
(541) 373-7423

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
216398
OR

Other

Enumeration date
06/25/2024
Last updated
06/25/2024
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