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1215554365
GABRIEL SAGE LEWIS-KRAITSIK
SANTA FE, NM
NPI
1215554365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM PT5729)
Enumeration Date
2020-07-05
Last Update Date
2020-07-05
Business Address
GABRIEL SAGE LEWIS-KRAITSIK DPT
104C OLD LAS VEGAS HWY
SANTA FE, NM 87505-9301
Phone number: 505-992-4995
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Mailing Address
GABRIEL SAGE LEWIS-KRAITSIK DPT
626 1/2 ALARID ST
SANTA FE, NM 87505-3042
Phone number:
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