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1265641948
TAMMY RACHELLE GILLOCK
ALBUQUERQUE, NM
NPI
1265641948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 2951)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- TAMMY RACHELLE GILLOCK MPT, ATC
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930
Phone number: 505-841-1079
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Mailing Address
-- TAMMY RACHELLE GILLOCK MPT, ATC
1713 HENDOLA DR NE
ALBUQUERQUE, NM 87110-5521
Phone number: 505-323-3855
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