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Individual
JEFFREY C N PANG
Active
Individual
JEFFREY C N PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC2420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0270612
MEDICAL PIN #
—
Enumeration date
08/30/2006
Last updated
07/08/2007
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