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Organization
REVIVE ACUPUNCTURE
Active
Organization
REVIVE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN DAUPHIN L.AC. (ACUPUNCTURIST/OWNER)
(831) 428-5785
Entity
Organization
Contact information
Practice address
43353 MISSION BLVD # B, FREMONT, CA 94539-5828
(510) 438-0128
(925) 683-6484
Mailing address
43353 MISSION BLVD # B, FREMONT, CA 94539-5828
(510) 438-0128
(925) 683-6484
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
13042
CA
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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