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Individual
SANGROK MOON
Active
Individual
SANGROK MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., L.AC.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00648800
NJ
171100000X
Acupuncturist
Primary
25MZ00081300
NJ
Other
Enumeration date
06/25/2012
Last updated
12/09/2020
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