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MR. SHAWN LAN BLUE ACUPUNCTURIST
>> Acupuncturist >> Other Service ProvidersRegistrant NPI Number: 1639562440
Individual Registrant:MR. SHAWN LAN BLUE ACUPUNCTURIST
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
5699 MILGROVE WAY CHINO HILLS, CA 91709-8772 US
Tel: 909-979-4329 Fax: --
Tel: 909-979-4329 Fax: --
Contact information for business:
5699 MILGROVE WAY CHINO HILLS, CA 91709-8772 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1639562440
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171100000X | Other Service Providers Acupuncturist | CA | 15586 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
