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1588076525
DALE EDWARD FANNING
BERKELEY, CA
NPI
1588076525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA AC 15988)
Enumeration Date
2014-05-26
Last Update Date
2014-05-26
Business Address
-- DALE EDWARD FANNING LAc
1700 SHATTUCK AVE
BERKELEY, CA 94709-3402
Phone number: 510-847-9706
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Mailing Address
-- DALE EDWARD FANNING LAc
1436 BLAKE ST
BERKELEY, CA 94702-2104
Phone number: 206-979-4510
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