CAROLYN W FAGAN

SANTA FE, NM
NPI1215940994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: NM  #456)
Enumeration Date2006-08-14
Last Update Date2007-07-08
Business Address
-- CAROLYN W FAGAN
2954 RODEO PARK DR W
SANTA FE, NM 87505-6351
Phone number: 505-424-0131
Mailing Address
-- CAROLYN W FAGAN
8 CLEMATIS CIR
SANTA FE, NM 87506-1292
Phone number: 505-424-0131
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