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Individual

ELLEN GEARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
1005 7TH ST, ANACORTES, WA 98221-4105
(360) 293-3461
Mailing address
PO BOX 2035, ANACORTES, WA 98221
(360) 293-3461

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00000762
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8572GE
REGENCE BLUE SHIELD
WA
Enumeration date
04/26/2007
Last updated
02/07/2012
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