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1588113096
BRUCE GUSTAFSON
SANTA MONICA, CA
NPI
1588113096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA 17333)
Enumeration Date
2016-09-26
Last Update Date
2016-09-26
Business Address
Mr. BRUCE GUSTAFSON LAc.
3218 18TH ST
SANTA MONICA, CA 90405-5928
Phone number: 310-399-1040
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Mailing Address
Mr. BRUCE GUSTAFSON LAc.
3218 18TH ST
SANTA MONICA, CA 90405-5928
Phone number: 310-399-1040
Copy
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