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Organization

MARACUPUNCTURE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARA S KEVAN LAC (OWNER)
(541) 280-4882
Entity
Organization

Contact information

Practice address
497 SW CENTURY DR STE 120, BEND, OR 97702-1167
(541) 280-4882
Mailing address
497 SW CENTURY DR STE 120, BEND, OR 97702-1167
(541) 280-4882

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
175F00000X
Naturopath

Other

Enumeration date
12/14/2016
Last updated
12/14/2016
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