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1174080733
AUDRA RUTH HENDRIX
GALLUP, NM
NPI
1174080733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NM 4080)
Enumeration Date
2019-03-01
Last Update Date
2019-03-01
Business Address
AUDRA RUTH HENDRIX OTR
3720 CHURCH ROCK ST
GALLUP, NM 87301-4572
Phone number: 505-722-2261
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Mailing Address
AUDRA RUTH HENDRIX OTR
1080 CRAWFORD RD
WEST UNION, OH 45693-8949
Phone number: 937-217-0485
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