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1477096741
ELEMENTAL SOURCE ACUPUNCTURE, LLC
FREDERICK, MD
NPI
1477096741
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Entity Type
Organization
Authorized Contact
KALLIE GUIMOND
Owner/Licensed Acupuncturist
240-432-7522
Organization Subpart ?
No
Primary Taxonomy
171100000X Acupuncturist
Enumeration Date
2016-11-18
Last Update Date
2016-11-18
Business Address
ELEMENTAL SOURCE ACUPUNCTURE, LLC
263 W PATRICK ST SUITE 2
FREDERICK, MD 21701-6910
Phone number: 240-432-7522
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Mailing Address
ELEMENTAL SOURCE ACUPUNCTURE, LLC
3627 LEW WALLACE ST
FREDERICK, MD 21704-7872
Phone number: 240-432-7522
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