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Individual

MS. OCA T GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.AC

Contact information

Practice address
5030 BROADWAY STE 644, NEW YORK, NY 10034-1616
(929) 361-3735
Mailing address
615 E 168TH ST APT F, BRONX, NY 10456-3839
(646) 326-4223

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006057
NY
171100000X
Acupuncturist
25MZ00137400
NJ

Other

Enumeration date
07/02/2019
Last updated
07/02/2019
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