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1356887798
THERESA BEACH
FARMINGTON, NM
NPI
1356887798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NM A-1284)
Enumeration Date
2017-01-09
Last Update Date
2017-01-09
Business Address
-- THERESA BEACH
800 SAGUARO TRL
FARMINGTON, NM 87401-9632
Phone number: 505-324-6420
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Mailing Address
-- THERESA BEACH
800 SAGUARO TRL
FARMINGTON, NM 87401-9632
Phone number:
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