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Organization

ASPEN ACUPUNCTURE & HERBAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TABITHA LYNN OLSEN-BERGMAN L.AC. (OWNER)
(218) 422-5920
Entity
Organization

Contact information

Practice address
1506 30TH AVE S STE A, MOORHEAD, MN 56560-5195
(218) 422-5920
Mailing address
1506 30TH AVE S STE A, MOORHEAD, MN 56560-5195
(218) 422-5920

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1825
MN

Other

Enumeration date
01/30/2018
Last updated
01/30/2018
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