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Individual
NOBUKO IDE
Active
Individual
NOBUKO IDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LA.C
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC14934
CA
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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