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1053590877
OMEGA REBECCA GONZALES
FARMINGTON, NM
NPI
1053590877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NM A-0491)
Enumeration Date
2007-10-29
Last Update Date
2008-09-11
Business Address
Ms. OMEGA REBECCA GONZALES
3501 N. BUTLER, STE 101 AND 102
FARMINGTON, NM 87401-5630
Phone number: 505-326-0064
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Mailing Address
Ms. OMEGA REBECCA GONZALES
3501 N BUTLER AVE STE AND102
FARMINGTON, NM 87401-6429
Phone number: 505-326-0064
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