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1629101936
KEN BEACH
ALBUQUERQUE, NM
NPI
1629101936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 2150)
Enumeration Date
2007-03-14
Last Update Date
2007-07-09
Business Address
-- KEN BEACH PT
6811 TAYLOR RANCH DR NW LB JOHNSON MS
ALBUQUERQUE, NM 87120
Phone number: 505-898-1492
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Mailing Address
-- KEN BEACH PT
6811 TAYLOR RANCH DR NW LB JOHNSON MS
ALBUQUERQUE, NM 87120
Phone number: 505-898-1492
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