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1306393905
MAYA ROSE BERNADETT-PETERS
GALLUP, NM
NPI
1306393905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 4873)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- MAYA ROSE BERNADETT-PETERS DPT
516 E NIZHONI BLVD
GALLUP, NM 87301
Phone number: 505-722-1000
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Mailing Address
-- MAYA ROSE BERNADETT-PETERS DPT
PO BOX 1337
GALLUP, NM 87301
Phone number: 505-722-1000
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