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MR. SHAWN LAN BLUE ACUPUNCTURIST

>> Acupuncturist >> Other Service Providers

Registrant NPI Number: 1639562440

Individual Registrant:
MR. SHAWN LAN BLUE ACUPUNCTURIST
Gender: M
Sole Proprietor

Location and contact information for practice:
5699 MILGROVE WAY  CHINO HILLS, CA 91709-8772 US
Tel: 909-979-4329  Fax: --

Contact information for business:
5699 MILGROVE WAY  CHINO HILLS, CA 91709-8772 US
Tel: --  Fax: --

Registration Information:
NPI: 1639562440
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171100000XOther Service Providers
Acupuncturist
CA15586

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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