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1205015971
ERICA HERRA
FARMINGTON, NM
NPI
1205015971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NM A-316)
Enumeration Date
2007-10-30
Last Update Date
2007-10-30
Business Address
Mrs. ERICA HERRA PTA
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-564-8563
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Mailing Address
Mrs. ERICA HERRA PTA
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-564-8563
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