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1427258698
TIMOTHY J FAILS
RIO RANCHO, NM
NPI
1427258698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM 396)
Enumeration Date
2007-07-24
Last Update Date
2015-04-10
Business Address
Mr. TIMOTHY J FAILS ATC/L
301 LOMA COLORADO BLVD NE
RIO RANCHO, NM 87124-6562
Phone number: 505-896-9505
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Mailing Address
Mr. TIMOTHY J FAILS ATC/L
301 LOMA COLORADO BLVD NE
RIO RANCHO, NM 87124-6562
Phone number: 505-896-9505
Copy
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