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Individual

MR. CHASE L DESSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
7765 HEALDSBURG AVE, SEBASTOPOL, CA 95472-3309
(707) 861-8930
Mailing address
7442 HEALDSBURG AVE, SEBASTOPOL, CA 95472-3323
(707) 861-8930

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16569
CA

Other

Enumeration date
06/19/2015
Last updated
06/19/2015
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