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1609945328
JOHN ANSEL CRUZ JIMENEZ
CLOVIS, NM
NPI
1609945328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 3209)
Enumeration Date
2006-11-07
Last Update Date
2018-09-21
Business Address
JOHN ANSEL CRUZ JIMENEZ PT
100 E MANANA BLVD UNIT 1
CLOVIS, NM 88101-3503
Phone number: 575-366-5014
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Mailing Address
JOHN ANSEL CRUZ JIMENEZ PT
100 E MANANA BLVD STE 1
CLOVIS, NM 88101-3503
Phone number: 575-366-5014
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