GABRIEL SAGE LEWIS-KRAITSIK

SANTA FE, NM
NPI1215554365
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NM  PT5729)
Enumeration Date2020-07-05
Last Update Date2020-07-05
Business Address
GABRIEL SAGE LEWIS-KRAITSIK DPT
104C OLD LAS VEGAS HWY
SANTA FE, NM 87505-9301
Phone number: 505-992-4995
Mailing Address
GABRIEL SAGE LEWIS-KRAITSIK DPT
626 1/2 ALARID ST
SANTA FE, NM 87505-3042
Phone number:
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