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Organization
SOUL SPROUT FAMILY ACUPUNCTURE LLC
Active
Organization
SOUL SPROUT FAMILY ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN GIESE DAOM, LAC (OWNER, LICENSED ACUPUNCTURIST)
(201) 563-0659
Entity
Organization
Contact information
Practice address
10 E WILLOW ST, MILLBURN, NJ 07041-1417
(201) 563-0659
Mailing address
10 E WILLOW ST, MILLBURN, NJ 07041-1417
(201) 563-0659
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
NULL
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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