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Individual

DAEHWAN JI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC

Contact information

Practice address
460 BERGEN BLVD SUITE #304, PALISADES PARK, NJ 07650
(201) 469-6899
(201) 461-7122
Mailing address
460 BERGEN BLVD STE 304, PALISADES PARK, NJ 07650-2345
(201) 469-6899
(201) 461-7122

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00075000
NJ

Other

Enumeration date
05/22/2014
Last updated
05/22/2014
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