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Individual
MR. EHSAN ESI DAYANIM
Active
Individual
MR. EHSAN ESI DAYANIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4569
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AC0045690
—
CA
01
—
AC0045691
45691
CA
01
—
AC0045692
45692
CA
Enumeration date
07/09/2006
Last updated
07/08/2007
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