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Organization

FOUR CORNERS ORIENTAL MEDICINE AND ACUPUNCTURE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RHENNA ST. CLAIR (LICENSED ACUPUNCTURIST)
(505) 564-3242
Entity
Organization

Contact information

Practice address
2130 FARMINGTON AVE, FARMINGTON, NM 87401-2123
(505) 564-3242
Mailing address
2130 FARMINGTON AVE, FARMINGTON, NM 87401-2123
(505) 564-3242

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
NMBAOM662
NM

Other

Enumeration date
10/09/2007
Last updated
10/09/2007
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