Individual
DEBORAH B MANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
320 CENTRAL AVE STE 304, COOS BAY, OR 97420-2241
(541) 266-7694
Mailing address
61844 OLD WAGON RD, COOS BAY, OR 97420
(541) 266-7694
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01092
OR
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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