ALICIA THIBODEAUX

GALLUP, NM
NPI1265885990
Former NameALICIA KNEBEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: UT  9836847-9934)
Enumeration Date2016-07-18
Last Update Date2017-04-17
Business Address
-- ALICIA THIBODEAUX O.D.
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
-- ALICIA THIBODEAUX O.D.
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number:
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