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Organization
FOUNTAIN OF YOUTH ACUPUNCTURE LLC
Active
Organization
FOUNTAIN OF YOUTH ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELINA KRAUS (OWNER)
(201) 741-6802
Entity
Organization
Contact information
Practice address
1474 SC-160, SUITE 103, FORT MILL, SC 29715
(201) 741-6802
Mailing address
1083 GENNETT CIR APT 209, FORT MILL, SC 29715-6243
(201) 741-6802
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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