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1932659398
ANDREW RYAN PORTER
SANTA CRUZ, CA
NPI
1932659398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA 17279)
Enumeration Date
2016-10-10
Last Update Date
2016-10-10
Business Address
-- ANDREW RYAN PORTER L.Ac., M.T.C.M.
710 RIVER ST SUITE 11
SANTA CRUZ, CA 95060-2748
Phone number: 907-317-1511
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Mailing Address
-- ANDREW RYAN PORTER L.Ac., M.T.C.M.
127 NATIONAL ST
SANTA CRUZ, CA 95060-6516
Phone number: 907-317-1511
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