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Individual

MR. JAMES EDWIN CASSELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC

Contact information

Practice address
236 PONTOTOC, MASON, TX 76856
(512) 751-3476
Mailing address
3600 N HILLS DR, 134, AUSTIN, TX 78731-2439
(512) 751-3476

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00579
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AC00579
TEXAS ACUPUNCTURE LICENSE
TX
Enumeration date
10/17/2006
Last updated
07/08/2007
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