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Organization

FOUR WINDS ACUPUNCTURE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATHAN WALES DOM (DOCTOR ORIENTAL MEDICINE/OWNER)
(505) 470-5705
Entity
Organization

Contact information

Practice address
1660 OLD PECOS TRL, SUITE H, SANTA FE, NM 87505-4779
(505) 470-5705
Mailing address
1660 OLD PECOS TRL, SUITE H, SANTA FE, NM 87505-4779
(505) 470-5705

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
926
NM

Other

Enumeration date
09/25/2007
Last updated
09/25/2007
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