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1306974241
DONNA ANN LAKE
SANTA FE, NM
NPI
1306974241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NM 276)
Enumeration Date
2007-03-01
Last Update Date
2007-07-09
Business Address
Ms. DONNA ANN LAKE O.T.R.
1300 CAMINO SIERRA VIS BF YOUNG CENTER
SANTA FE, NM 87505-1007
Phone number: 505-954-2504
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Mailing Address
Ms. DONNA ANN LAKE O.T.R.
2400 MACLOVIA LN
SANTA FE, NM 87505-3247
Phone number: 505-474-4218
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