STACEY L POTTER

FARMINGTON, NM
NPI1306110838
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NM  # 7128)
Enumeration Date2012-03-01
Last Update Date2012-03-01
Business Address
Ms. STACEY L POTTER LMT, MTI, BS
313 N MONTEREY AVE
FARMINGTON, NM 87401-6957
Phone number: 505-701-4164
Mailing Address
Ms. STACEY L POTTER LMT, MTI, BS
313 N MONTEREY AVE
FARMINGTON, NM 87401-6957
Phone number: 505-701-4164
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