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1306380548
AMY LANAE LARUSSA
LOS LUNAS, NM
NPI
1306380548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2016-12-07
Last Update Date
2016-12-07
Business Address
-- AMY LANAE LARUSSA
119 LUNA ST SE
LOS LUNAS, NM 87031-6814
Phone number: 205-913-4524
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Mailing Address
-- AMY LANAE LARUSSA
4805 MARQUETTE AVE NE APT 107
ALBUQUERQUE, NM 87108-1264
Phone number: 205-913-4524
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