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1114055118
AMANDA HERRERA
LAS VEGAS, NM
NPI
1114055118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 3205)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
AMANDA HERRERA
220 PLAZA ST
LAS VEGAS, NM 87701-3433
Phone number: 505-429-0296
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Mailing Address
AMANDA HERRERA
PO BOX 253
LAS VEGAS, NM 87701-0253
Phone number: 505-429-0296
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