Individual
MR. STEPHEN KENT PROCUNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC LIC ACUPUNTURIST
Contact information
Practice address
320 CENTRAL AVENUE, SUITE 304, COOS BAY, OR 97420
(541) 267-2142
Mailing address
320 CENTRAL AVENUE, SUITE 304, COOS BAY, OR 97420
(541) 267-2142
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00216
OR
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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