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1457050577
SHANE SMITH
RIO RANCHO, NM
NPI
1457050577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NM MT22009)
Enumeration Date
2023-02-27
Last Update Date
2023-02-27
Business Address
SHANE SMITH MT22009
1005 21ST ST SE STE 9
RIO RANCHO, NM 87124-4030
Phone number: 505-239-9644
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Mailing Address
SHANE SMITH MT22009
1005 21ST ST SE STE 9
RIO RANCHO, NM 87124-4030
Phone number: 505-239-9644
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