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1407439417
EZEQUIEL PALOMARES
LAS CRUCES, NM
NPI
1407439417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT8170)
Enumeration Date
2021-04-29
Last Update Date
2021-04-29
Business Address
EZEQUIEL PALOMARES ATC
2404 S LOCUST ST STE 5
LAS CRUCES, NM 88001-5789
Phone number: 575-521-4188
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Mailing Address
EZEQUIEL PALOMARES ATC
219 MERIDA DR
ANTHONY, NM 88021-8226
Phone number: 157-549-6916
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