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1073045282
SHANTEL BLUME
GALLUP, NM
NPI
1073045282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305208078)
Enumeration Date
2017-03-28
Last Update Date
2022-07-21
Business Address
-- SHANTEL BLUME DPT, CLT
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- SHANTEL BLUME DPT, CLT
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Copy
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