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1275946063
TANYA EILEEN WATSON
LAS CRUCES, NM
NPI
1275946063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM 611)
Enumeration Date
2014-06-09
Last Update Date
2015-01-14
Business Address
Ms. TANYA EILEEN WATSON ATC/L
1815 WELLS ST RM 202
LAS CRUCES, NM 88003-1304
Phone number: 575-646-7182
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Mailing Address
Ms. TANYA EILEEN WATSON ATC/L
PO BOX 30001 MSC 3FAC
LAS CRUCES, NM 88003-8001
Phone number: 575-646-7182
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