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Organization

AN SHEN WELLNESS WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAELE A GEOGHEGAN MSTOM, LAC (ACUPUNCTURIST)
(360) 694-5425
Entity
Organization

Contact information

Practice address
1906 BROADWAY ST, VANCOUVER, WA 98663-3325
(360) 694-7668
Mailing address
1906 BROADWAY ST, VANCOUVER, WA 98663-3325
(360) 694-7668

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00002081
WA

Other

Enumeration date
10/24/2012
Last updated
10/24/2012
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