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1598967846
ALLEN WADE BRAITHWAITE
ALBUQUERQUE, NM
NPI
1598967846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: NM 5251)
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
Mr. ALLEN WADE BRAITHWAITE LMT
9809 CANDELARIA RD NE STE 2B
ALBUQUERQUE, NM 87112-1458
Phone number: 505-553-2354
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Mailing Address
Mr. ALLEN WADE BRAITHWAITE LMT
9809 CANDELARIA RD NE STE 2B
ALBUQUERQUE, NM 87112-1458
Phone number: 505-553-2354
Copy
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