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1164842746
OMAR FERCHA
LAS CRUCES, NM
NPI
1164842746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM 487)
Enumeration Date
2014-04-22
Last Update Date
2014-04-22
Business Address
-- OMAR FERCHA ATC
5400 MESA GRANDE AVE
LAS CRUCES, NM 88011
Phone number: 575-527-9430
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Mailing Address
-- OMAR FERCHA ATC
5400 MESA GRANDE AVE
LAS CRUCES, NM 88011
Phone number:
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