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Organization

DONG YO ACUPUNCTURE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN JEAN HATHAWAY DAOM (ACUPUNCTURIST)
(321) 723-3017
Entity
Organization

Contact information

Practice address
2105 PALM BAY RD NE, STE 2, PALM BAY, FL 32905-2937
(321) 723-3017
Mailing address
2105 PALM BAY RD NE, STE 2, PALM BAY, FL 32905-2937
(321) 723-3017

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP1352
FL
261QP3300X
Pain Clinic/Center
AC164809
OR

Other

Enumeration date
12/06/2016
Last updated
12/06/2016
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