Individual
SEAN DUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
6540 W EMERALD ST STE 100, BOISE, ID 83704-8782
(208) 953-7690
Mailing address
4777 N WATERFRONT WAY, BOISE, ID 83703-2772
(208) 953-7690
(208) 953-7690
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
A105
IA
171100000X
Acupuncturist
Primary
ACU354
ID
Other
Enumeration date
05/03/2018
Last updated
05/01/2020
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