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1871020560
LEDA DEROSE
SAN DIEGO, CA
NPI
1871020560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA 17646)
Enumeration Date
2017-05-12
Last Update Date
2017-05-12
Business Address
-- LEDA DEROSE
811 W WASHINGTON ST
SAN DIEGO, CA 92103-1804
Phone number: 619-354-9703
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Mailing Address
-- LEDA DEROSE
3541 31ST STREET
SAN DIEGO, CA 92104
Phone number:
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