COYLE JOHN DOMINA

SOCORRO, NM
NPI1205070224
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NM  2566)
Enumeration Date2009-04-21
Last Update Date2009-04-21
Business Address
-- COYLE JOHN DOMINA OTR/L
700 FRANKLIN ST
SOCORRO, NM 87801-4666
Phone number: 505-306-4475
Mailing Address
-- COYLE JOHN DOMINA OTR/L
11404 FAYE AVE NE
ALBUQUERQUE, NM 87112-5579
Phone number: 505-306-4475
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