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Organization

EAST WEST HOLISTIC MEDICINE CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NATALYA KLYUCHKO AP (MGR)
(772) 600-0073
Entity
Organization

Contact information

Practice address
506 SW FEDERAL HWY, SUITE 101, STUART, FL 34994-2827
(772) 600-7033
(772) 600-7083
Mailing address
506 SW FEDERAL HWY, SUITE101, STUART, FL 34994-2827
(772) 600-7033

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/04/2007
Last updated
01/11/2012
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