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1356600191
LANE GUNNELL
ALAMOGORDO, NM
NPI
1356600191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 6695122-2402)
Enumeration Date
2012-05-14
Last Update Date
2012-05-14
Business Address
-- LANE GUNNELL
205 MOONGLOW AVE
ALAMOGORDO, NM 88310-3339
Phone number: 575-434-4510
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Mailing Address
-- LANE GUNNELL
5000 BIRCH ST 3000 WEST TOWER
NEWPORT BEACH, CA 92660-2127
Phone number: 888-835-0894
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