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1265965446
ILLUMINE INTEGRATIVE THERAPEUTICS LLC
ALBUQUERQUE, NM
NPI
1265965446
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Entity Type
Organization
Authorized Contact
JEANNE DALEN
Owner
505-796-2975
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: NM 1339)
Enumeration Date
2017-04-05
Last Update Date
2017-04-05
Business Address
ILLUMINE INTEGRATIVE THERAPEUTICS LLC
707 BROADWAY BLVD NE SUITE 402
ALBUQUERQUE, NM 87102-2360
Phone number: 505-796-2975
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Mailing Address
ILLUMINE INTEGRATIVE THERAPEUTICS LLC
20 SANTA ANA LOOP
PLACITAS, NM 87043-9440
Phone number: 505-796-2975
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