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1417090259
CAROL PHARES
ALBUQUERQUE, NM
NPI
1417090259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NM 811)
Enumeration Date
2007-02-14
Last Update Date
2007-07-09
Business Address
Ms. CAROL PHARES OTR
4216 BALLOON PARK RD NE
ALBUQUERQUE, NM 87109-5801
Phone number: 505-344-5470
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Mailing Address
Ms. CAROL PHARES OTR
2204 RANCHO ORO AVE SE
RIO RANCHO, NM 87124-8729
Phone number: 505-896-9722
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