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Organization

NEW LIFE ACUPUNCTURE AND HERBS CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANGSOON CHANG (D.O.M)
15057107504
Entity
Organization

Contact information

Practice address
4716 CENTRAL AVE SE, ALBUQUERQUE, NM 87108
(505) 710-7504
Mailing address
4716 CENTRAL AVE SE, ALBUQUERQUE, NM 87108
(505) 710-7504

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
960
NM

Other

Enumeration date
12/10/2008
Last updated
12/10/2008
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