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Organization
LI SAGE ACUPUNCTURE CLINIC
Active
Organization
LI SAGE ACUPUNCTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIJUAN LI LAC (OWNER)
(626) 203-9372
Entity
Organization
Contact information
Practice address
1017 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3112
(626) 203-9372
Mailing address
1017 S. SAN GABRIEL BL, SAN GABRIEL, CA 91776
(626) 203-9372
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
LAC8155
CA
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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