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MRS. AMBER NICOLE BEAHM RUSSELL L.AC, DIPL.AC

>> Acupuncturist >> Other Service Providers

Registrant NPI Number: 1811279060

Individual Registrant:
MRS. AMBER NICOLE BEAHM RUSSELL L.AC, DIPL.AC
Gender: F
Sole Proprietor

Location and contact information for practice:
431 MAIN ST UNIT 2 LYONS, CO 80540 US
Tel: 720-445-5966  Fax: --

Contact information for business:
203 MCCONNELL CT  LYONS, CO 80540-3804 US
Tel: 720-445-5966  Fax: --

Registration Information:
NPI: 1811279060
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171100000XOther Service Providers
Acupuncturist
CO1710

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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