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Organization
GREEN FIRST MEDICAL GROUP GU'S CHINESE ACUPUNCTURE
Active
Organization
GREEN FIRST MEDICAL GROUP GU'S CHINESE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TA GU L.A.C. (OWNER/ACUPUNCTURIST)
(760) 885-9131
Entity
Organization
Contact information
Practice address
12180 RIDGECREST RD, #402, VICTORVILLE, CA 92395-7798
(760) 885-9131
Mailing address
12180 RIDGECREST RD, #402, VICTORVILLE, CA 92395-7798
(760) 885-9131
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC5176
CA
Other
Enumeration date
07/12/2012
Last updated
11/28/2012
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