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Individual

IAN KOEBNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
262 MAIN ST, APT 1, WATERTOWN, MA 02472-4334
(646) 708-4806
Mailing address
262 MAIN ST, APT 1, WATERTOWN, MA 02472-4334
(646) 708-4806

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Enumeration date
07/14/2011
Last updated
07/14/2011
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