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1104200427
CHANELLE REYNOLDS
FARMINGTON, NM
NPI
1104200427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM 3380)
Enumeration Date
2015-07-16
Last Update Date
2015-07-16
Business Address
CHANELLE REYNOLDS
800 SAGUARO TRL
FARMINGTON, NM 87401-9632
Phone number: 888-873-4221
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Mailing Address
CHANELLE REYNOLDS
800 SAGUARO TRL
FARMINGTON, NM 87401-9632
Phone number: 888-873-4221
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