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Individual

MR. JEFFREY MARK GOULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC LICENSED ACUPUNC

Contact information

Practice address
658 KENILWORTH DRIVE, SUITE 206, TOWSON, MD 21204
(410) 828-3585
(410) 828-8674
Mailing address
10597 TOPSFIELD DRIVE, COCKEYSVILLE, MD 21030
(443) 631-0900

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
V01223
MD

Other

Enumeration date
10/18/2006
Last updated
07/08/2007
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