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1114643814
CRATER LAKE ACUPUNCTURE LLC
MEDFORD, OR
NPI
1114643814
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Entity Type
Organization
Authorized Contact
JENNIFER LONG
Owner
541-531-2151
Organization Subpart ?
No
Primary Taxonomy
171100000X Acupuncturist
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
CRATER LAKE ACUPUNCTURE LLC
3132 STATE ST STE 210
MEDFORD, OR 97504-8691
Phone number: 541-414-0503
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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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