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1306962428
LIBERTY JAVENIA ANG
GALLUP, NM
NPI
1306962428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 3162)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
Mrs. LIBERTY JAVENIA ANG P.T.
1000 E AZTEC AVE
GALLUP, NM 87301-5509
Phone number: 505-721-1839
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Mailing Address
Mrs. LIBERTY JAVENIA ANG P.T.
1905 MERRITT
GALLUP, NM 87301-4808
Phone number: 505-409-8290
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