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Individual

GEORGANNE ROBERTA VERIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, L.AC

Contact information

Practice address
601 E LAKESHORE DR, SUITE 102, MANISTIQUE, MI 49854-1692
(906) 286-0198
Mailing address
601 E LAKESHORE DR, SUITE 102, MANISTIQUE, MI 49854-1692
(906) 286-0198

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5401000068
MI
171100000X
Acupuncturist
649-055
WI
171100000X
Acupuncturist
NH-140
NH

Other

Enumeration date
11/12/2012
Last updated
11/12/2012
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