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Organization
BODY EVOLUTION ACUPUNCTURE AND WELLNESS, PLLC
Active
Organization
BODY EVOLUTION ACUPUNCTURE AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER STANG L.AC. (CEO, ACUPUNCTURIST)
(512) 522-7405
Entity
Organization
Contact information
Practice address
4111 MARATHON BLVD, SUITE 110, AUSTIN, TX 78756-3719
(512) 522-7405
Mailing address
115 SANDRA MURAIDA WAY, APT. 329, AUSTIN, TX 78703-4696
(404) 512-6850
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01374
TX
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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