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1245445329
LISA BRACK WARREN
ALBUQUERQUE, NM
NPI
1245445329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: NM 2268)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
-- LISA BRACK WARREN PT
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930
Phone number: 505-843-4700
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Mailing Address
-- LISA BRACK WARREN PT
7208 MACKENZIE CT NE
RIO RANCHO, NM 87144-8467
Phone number: 505-867-5825
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