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Individual

RAYMOND WAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.AC., ADS., LMT.,

Contact information

Practice address
3790 28TH ST SW, SUITE B, GRANDVILLE, MI 49418-1390
(616) 419-6924
Mailing address
3790 28TH ST SW, SUITE B, GRANDVILLE, MI 49418-1390
(616) 419-6924

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Enumeration date
06/24/2015
Last updated
06/24/2015
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