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1316072317
DARYL C WOOTEN
LAS CRUCES, NM
NPI
1316072317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM 39)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Mr. DARYL C WOOTEN A.T.C.
1755 EL PASEO RD
LAS CRUCES, NM 88001-6011
Phone number: 505-527-9409
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Mailing Address
Mr. DARYL C WOOTEN A.T.C.
2522 LOS ALAMOS CT
LAS CRUCES, NM 88011-1657
Phone number: 505-522-4949
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