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Individual

BOK NAM DE GREGORIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LIC. AC, MOM

Contact information

Practice address
55 MARE TERRACE, PORTSMOUTH, RI 02871-0287
(703) 798-3874
Mailing address
55 MARE TERRACE, PORTSMOUTH, RI 02871-7700
(703) 798-3874

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
DA00477
RI
171100000X
Acupuncturist

Other

Enumeration date
07/16/2014
Last updated
03/22/2022
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