Great Bear Acupuncture, LLC

NPI #1659634764 in Bandon, Oregon

Provider Information

NPI Number: 1659634764
Entity Type: Organization
Organization Name: Great Bear Acupuncture, LLC
Primary Specialty: Acupuncturist
Enumeration Date: Jun 22, 2012
Last Updated: Jun 22, 2012

Practice Location

Address: 190 2ND ST SE
City: Bandon
State: Oregon
ZIP Code: 97411-9660
Phone: (541) 347-2770

Authorized Official

Name: DANA L LAVOIE, LAC
Title: MANAGING MEMBER
Phone: (541) 347-2770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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