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Individual

DR. MEGAN JANE BULLOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
705 N LEROUX ST, FLAGSTAFF, AZ 86001-3225
(928) 316-6187
Mailing address
1843 E SAGEBRUSH RD, WILLIAMS, AZ 86046-9342
(775) 790-7606

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC223288
OR
171100000X
Acupuncturist
Primary
LAC-012319
AZ

Other

Enumeration date
12/05/2024
Last updated
05/21/2026
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