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Organization

FULL WELL ACUPUNCTURE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAMELA GREGG FLAX DOM (OWNER)
(505) 690-8048
Entity
Organization

Contact information

Practice address
838 COLUMBIA ST, SANTA FE, NM 87505-3965
(505) 690-8048
Mailing address
838 COLUMBIA ST, SANTA FE, NM 87505-3965
(505) 690-8048

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1072
NM

Other

Enumeration date
04/01/2014
Last updated
04/01/2014
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