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1336488469
DAN HAMPTON DEFOREST
NORTH FREEDOM, WI
NPI
1336488469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: WI 146055)
Enumeration Date
2013-02-08
Last Update Date
2013-02-08
Business Address
Mr. DAN HAMPTON DEFOREST L.Ac.
307 S MAPLE ST
NORTH FREEDOM, WI 53951-9685
Phone number: 608-522-5022
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Mailing Address
Mr. DAN HAMPTON DEFOREST L.Ac.
305 S MAPLE ST
NORTH FREEDOM, WI 53951-9685
Phone number:
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