Individual
MARK ALAN DEBEVOISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 BALA AVE, BALA CYNWYD, PA 19004-3202
(610) 664-4488
Mailing address
19 BALA AVE, BALA CYNWYD, PA 19004-3202
(610) 664-4488
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK000119L
PA
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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