Organization
GREAT BEAR ACUPUNCTURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA L LAVOIE LAC (MANAGING MEMBER)
(541) 347-2770
Entity
Organization
Contact information
Practice address
190 2ND ST SE, BANDON, OR 97411-9660
(541) 347-2770
Mailing address
PO BOX 2004, BANDON, OR 97411-2004
(541) 347-2770
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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