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Individual

GEORGE MANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DOM

Contact information

Practice address
2521 CAMINO ENTRADA, SANTA FE, NM 87507
(505) 984-2032
(505) 474-8836
Mailing address
PO BOX 29269, SANTA FE, NM 87592-9269
(505) 984-2032
(505) 474-8836

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
879
NM

Other

Enumeration date
08/11/2006
Last updated
07/08/2007
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