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1417255787
JEREMY FANE CAMPBELL
SANTA CRUZ, CA
NPI
1417255787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA AC 14011)
Enumeration Date
2011-03-10
Last Update Date
2011-03-10
Business Address
-- JEREMY FANE CAMPBELL L.Ac.
621 WATER ST
SANTA CRUZ, CA 95060-4146
Phone number: 831-320-2896
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Mailing Address
-- JEREMY FANE CAMPBELL L.Ac.
149 SEACLIFF DR
APTOS, CA 95003-4439
Phone number: 831-320-2896
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