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1114366218
CHARLES M RICHEY
CARLSBAD, NM
NPI
1114366218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NM A-0949)
Enumeration Date
2013-06-21
Last Update Date
2013-06-21
Business Address
-- CHARLES M RICHEY PTA
128 S CANYON ST
CARLSBAD, NM 88220-5733
Phone number: 575-439-1397
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Mailing Address
-- CHARLES M RICHEY PTA
PO BOX 2860
ALAMOGORDO, NM 88311-2860
Phone number: 575-439-1397
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