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Organization

THE CHINESE MEDICINE CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY PEACOCK L.AC (OWNER/ACUPUNCTURE HERBALIST)
(303) 834-9188
Entity
Organization

Contact information

Practice address
385 MAIN ST, SUITE D, LONGMONT, CO 80501
(303) 834-9188
(303) 834-9552
Mailing address
385 MAIN ST, SUITE D, LONGMONT, CO 80501
(303) 834-9188
(303) 834-9552

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1722
CO

Other

Enumeration date
09/07/2012
Last updated
09/07/2012
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