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1255764247
MICHELLE RAE WIGGINS
ALBUQUERQUE, NM
NPI
1255764247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NM A-0962)
Enumeration Date
2013-08-14
Last Update Date
2013-08-14
Business Address
-- MICHELLE RAE WIGGINS PTA
7108 HEARTHSTONE RD NW
ALBUQUERQUE, NM 87114-4583
Phone number: 210-275-9968
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Mailing Address
-- MICHELLE RAE WIGGINS PTA
7108 HEARTHSTONE RD NW
ALBUQUERQUE, NM 87114-4583
Phone number: 210-275-9968
Copy
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