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1184000291
JANELLE MONTOYA
GALLUP, NM
NPI
1184000291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NM A-1150)
Enumeration Date
2015-07-31
Last Update Date
2015-07-31
Business Address
-- JANELLE MONTOYA
510 W MALONEY AVE
GALLUP, NM 87301
Phone number: 505-488-2615
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Mailing Address
-- JANELLE MONTOYA
1107 PIANO AVE
GALLUP, NM 87301-4911
Phone number:
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