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Organization
POKE ACUPUNCTURE
Active
Organization
POKE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ALAN BROWN L.AC. (OWNER)
(310) 489-1772
Entity
Organization
Contact information
Practice address
1810 COURTNEY AVE, LOS ANGELES, CA 90046-2105
(310) 489-1772
Mailing address
1810 COURTNEY AVE, LOS ANGELES, CA 90046-2105
(310) 489-1772
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
12013
CA
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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