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Organization
MB LASER REHAB CENTER
Active
Organization
MB LASER REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSIE DUONG (DIRECTOR)
(408) 406-8889
Entity
Organization
Contact information
Practice address
519 PARROTT ST, SAN JOSE, CA 95112-4121
(408) 406-8889
(408) 283-9318
Mailing address
3395 HERITAGE ESTATES DR, SAN JOSE, CA 95148-3804
(408) 406-8889
(408) 283-9318
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
DC27342
CA
111NR0400X
Rehabilitation Chiropractor
DC29924
CA
111NR0400X
Rehabilitation Chiropractor
DC30725
CA
111NR0400X
Rehabilitation Chiropractor
DC30915
CA
171100000X
Acupuncturist
Primary
AC11053
CA
Other
Enumeration date
08/16/2007
Last updated
02/05/2009
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