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1992151013
STEPHANIE DUERKOPP FADDIS
ENCINITAS, CA
NPI
1992151013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA 16967)
Enumeration Date
2016-05-07
Last Update Date
2016-09-22
Business Address
STEPHANIE DUERKOPP FADDIS
609 S VULCAN AVE SUITE 201
ENCINITAS, CA 92024-3600
Phone number: 626-555-5555
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Mailing Address
STEPHANIE DUERKOPP FADDIS
1237 COLUMBUS WAY
VISTA, CA 92081-8942
Phone number:
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