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1366899197
JODY SOUTHALL
COLUMBIA, MD
NPI
1366899197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: MD U02317)
Enumeration Date
2016-05-23
Last Update Date
2016-05-23
Business Address
-- JODY SOUTHALL M.Ac., L.Ac.
5570 STERRETT PL SUITE 308
COLUMBIA, MD 21044-2641
Phone number: 443-745-6799
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Mailing Address
-- JODY SOUTHALL M.Ac., L.Ac.
10333 CONGRESSIONAL CT
ELLICOTT CITY, MD 21042-2124
Phone number:
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