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1356305205
PHILIP D FENSKE
SOUTH LAKE TAHOE, CA
NPI
1356305205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA AC3289)
Enumeration Date
2006-04-15
Last Update Date
2013-11-29
Business Address
PHILIP D FENSKE
3457 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-8910
Phone number: 530-541-5262
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Mailing Address
PHILIP D FENSKE
3457 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-8910
Phone number: 530-541-5262
Copy
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