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1114579109
CRATER LAKE ACUPUNCTURE LLC
MEDFORD, OR
NPI
1114579109
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Entity Type
Organization
Authorized Contact
JENNIFER LONG
Owner Of LLC
541-531-2151
Organization Subpart ?
No
Primary Taxonomy
171100000X Acupuncturist
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
CRATER LAKE ACUPUNCTURE LLC
1245 N RIVERSIDE AVE STE 14
MEDFORD, OR 97501-4655
Phone number: 541-249-9200
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Mailing Address
CRATER LAKE ACUPUNCTURE LLC
524 ST AUGUSTINE DR
MEDFORD, OR 97504-2154
Phone number: 541-531-2151
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CRATER LAKE ACUPUNCTURE LLC