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1457763856
THERESA VEGA
LAS CRUCES, NM
NPI
1457763856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM 3198)
Enumeration Date
2014-05-20
Last Update Date
2014-05-20
Business Address
-- THERESA VEGA
1080 MED PARK DR
LAS CRUCES, NM 88005-3226
Phone number: 575-523-7243
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Mailing Address
-- THERESA VEGA
301 PERKINS DR STE C
LAS CRUCES, NM 88005-3248
Phone number: 575-523-7243
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