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1386645943
BRUCE A MAZUR
SANTA FE, NM
NPI
1386645943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 2379)
Enumeration Date
2005-08-04
Last Update Date
2007-07-08
Business Address
-- BRUCE A MAZUR PT DC
1401 MACLOVIA SUITE G
SANTA FE, NM 87505
Phone number: 505-471-0818
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Mailing Address
-- BRUCE A MAZUR PT DC
822 RIO VISTA
SANTA FE, NM 87501
Phone number: 505-470-6729
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