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1295873040
GEORGE VIGIL
RUIDOSO, NM
NPI
1295873040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM 1152)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
GEORGE VIGIL
1400 SUDDERTH DR
RUIDOSO, NM 88345-6103
Phone number: 505-257-2368
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Mailing Address
GEORGE VIGIL
1400 SUDDERTH DR
RUIDOSO, NM 88345-6103
Phone number: 505-257-2368
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