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1104364819
AUSTIN GRESHAM
BERKELEY, CA
NPI
1104364819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA 17109)
Enumeration Date
2017-02-02
Last Update Date
2017-02-02
Business Address
-- AUSTIN GRESHAM
2730 TELEGRAPH AVE
BERKELEY, CA 94705-1131
Phone number: 510-859-4177
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Mailing Address
-- AUSTIN GRESHAM
1772 WALNUT ST
BERKELEY, CA 94709-1715
Phone number: 843-597-4950
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