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1215117569
MICHELL LEANN GOMEZ
FARMINGTON, NM
NPI
1215117569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NM A-0562)
Enumeration Date
2007-11-04
Last Update Date
2007-11-04
Business Address
-- MICHELL LEANN GOMEZ LPTA
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-325-2511
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Mailing Address
-- MICHELL LEANN GOMEZ LPTA
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-325-2511
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