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1962820456
FULL WELL ACUPUNCTURE LLC
SANTA FE, NM
NPI
1962820456
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Entity Type
Organization
Authorized Contact
PAMELA GREGG FLAX
Owner
505-690-8048
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: NM 1072)
Enumeration Date
2014-04-01
Last Update Date
2014-04-01
Business Address
FULL WELL ACUPUNCTURE LLC
838 COLUMBIA ST
SANTA FE, NM 87505-3965
Phone number: 505-690-8048
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Mailing Address
FULL WELL ACUPUNCTURE LLC
838 COLUMBIA ST
SANTA FE, NM 87505-3965
Phone number: 505-690-8048
Copy
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