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1417960113
TRESA CAROL MOORE
RUIDOSO, NM
NPI
1417960113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NM 3292)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
-- TRESA CAROL MOORE L.M.T.
201 GAVILAN CANYON ROAD
RUIDOSO, NM 88345
Phone number: 505-937-0518
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Mailing Address
-- TRESA CAROL MOORE L.M.T.
PO BOX 7191
RUIDOSO, NM 88355-7191
Phone number: 505-937-0518
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