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Individual

ELEYAH KNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
141 SW K ST, GRANTS PASS, OR 97526-2820
(831) 428-4003
Mailing address
141 SW K ST, GRANTS PASS, OR 97526-2820
(831) 428-4003

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC183952
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500742896
OR
Enumeration date
10/15/2017
Last updated
06/26/2024
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