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Individual

CRYSTAL ANN FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MACOM, LAC

Contact information

Practice address
19550 AMBER MEADOW DR STE 180, BEND, OR 97702-3528
(541) 429-0900
Mailing address
19550 AMBER MEADOW DR STE 130-126, BEND, OR 97702-3525

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC192234
OR

Other

Enumeration date
04/13/2019
Last updated
04/13/2019
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