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1598299521
STARLA RAE
SAN DIEGO, CA
NPI
1598299521
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Former Name
STARLA RAE JACOBS-FUCITO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA AC6656)
Enumeration Date
2017-04-17
Last Update Date
2017-04-17
Business Address
-- STARLA RAE
4664 LISANN ST
SAN DIEGO, CA 92117-2441
Phone number: 203-217-8187
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Mailing Address
-- STARLA RAE
4664 LISANN ST
SAN DIEGO, CA 92117-2441
Phone number: 203-217-8187
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