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1134586944
KRISTA VILLA
LAS CRUCES, NM
NPI
1134586944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM AT859)
Enumeration Date
2016-01-25
Last Update Date
2023-05-02
Business Address
KRISTA VILLA MAT, LAT, ATC
3650 MORNING STAR DR UNIT 3701
LAS CRUCES, NM 88011-1783
Phone number: 575-703-6156
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Mailing Address
KRISTA VILLA MAT, LAT, ATC
3650 MORNING STAR DR UNIT 3701
LAS CRUCES, NM 88011-1783
Phone number: 575-703-6156
Copy
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