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Organization
REVIVE ACUPUNCTURE INCORPORATED
Active
Organization
REVIVE ACUPUNCTURE INCORPORATED
Active
Other names
Revive Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEGAN DAUPHIN L.AC. (ACUPUNCTURIST, OWNER)
(831) 428-5785
Entity
Organization
Contact information
Practice address
43353 MISSION BLVD # B, FREMONT, CA 94539-5828
(831) 428-5785
Mailing address
43353 MISSION BLVD # B, FREMONT, CA 94539-5828
(831) 428-5785
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
13042
CA
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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