Organization
SOUL EMBODY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUILLAUME VINCENT L.AC. (OWNER)
(970) 239-0015
Entity
Organization
Contact information
Practice address
100 W. COLORAO AVE., UNIT 229, TELLURIDE, CO 81435
(970) 239-0015
Mailing address
PO BOX 1497, TELLURIDE, CO 81435-1497
(970) 239-0015
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1515
CO
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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