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1154513224
JOVITA R TIESO
LAS CRUCES, NM
NPI
1154513224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 1334)
Enumeration Date
2007-08-13
Last Update Date
2007-08-13
Business Address
-- JOVITA R TIESO P. T.
5460 INSPIRATION LN
LAS CRUCES, NM 88011-6946
Phone number: 505-382-8939
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Mailing Address
-- JOVITA R TIESO P. T.
5460 INSPIRATION LN
LAS CRUCES, NM 88011-6946
Phone number: 505-382-8939
Copy
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