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1609565183
JOSHUA MATHIAS VORTHERMS
LAS CRUCES, NM
NPI
1609565183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NM AT876)
Enumeration Date
2023-05-02
Last Update Date
2023-05-02
Business Address
JOSHUA MATHIAS VORTHERMS ATC
1815 WELLS ST
LAS CRUCES, NM 88003-1304
Phone number: 575-646-6064
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Mailing Address
JOSHUA MATHIAS VORTHERMS ATC
3402 BIXLER DR APT 1707
LAS CRUCES, NM 88012-5113
Phone number:
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