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1912067521
SHASTA ERICSON
SAN JOSE, CA
NPI
1912067521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA AC5149)
Enumeration Date
2006-12-12
Last Update Date
2019-04-03
Business Address
Dr. SHASTA ERICSON L.Ac., D.A.O.M.
940 SARATOGA AVE SUITE 104
SAN JOSE, CA 95129
Phone number: 408-615-1995
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Mailing Address
Dr. SHASTA ERICSON L.Ac., D.A.O.M.
940 SARATOGA AVE SUITE 104
SAN JOSE, CA 95129
Phone number: 408-615-1995
Copy
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