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Individual

MS. KIMBERLY E. DORNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MACOM, LAC

Contact information

Practice address
535 GRISWOLD ST STE 111208, DETROIT, MI 48226-3604
(503) 449-6074
Mailing address
535 GRISWOLD ST STE 111208, DETROIT, MI 48226-3604

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00534
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/19/2006
Last updated
04/24/2025
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