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Individual

GABRIEL DONOVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
1000 E 7TH ST, SUITE 203, AUSTIN, TX 78702-3261
(512) 869-9731
Mailing address
1000 CLEAR LAKE LN, LEANDER, TX 78641-8643
(512) 869-9731

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01062
TX

Other

Enumeration date
05/23/2011
Last updated
05/23/2011
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