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1336291855
MARIE STELLA BRAVANTE IMAGE
ROSWELL, NM
NPI
1336291855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NM 2153)
Enumeration Date
2007-01-17
Last Update Date
2007-07-09
Business Address
Ms. MARIE STELLA BRAVANTE IMAGE OTR L
300 N KENTUCKY AVE
ROSWELL, NM 88201-4636
Phone number: 505-627-0192
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Mailing Address
Ms. MARIE STELLA BRAVANTE IMAGE OTR L
700 N MISSOURI AVE APT 38
ROSWELL, NM 88201-4861
Phone number: 505-627-0192
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