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1114274453
FRED BERMAN
SANTA FE, NM
NPI
1114274453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NM A-1214)
Enumeration Date
2012-08-06
Last Update Date
2012-08-06
Business Address
-- FRED BERMAN
720 SAINT MICHAELS DR
SANTA FE, NM 87505-7600
Phone number: 505-438-9402
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Mailing Address
-- FRED BERMAN
1814 PASEO DE LA CONQUISTADORA
SANTA FE, NM 87501-2341
Phone number: 505-795-8092
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