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1689209959
ETHAN TERRY STOCKTON
ALBUQUERQUE, NM
NPI
1689209959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM PT5546)
Enumeration Date
2020-03-07
Last Update Date
2020-03-07
Business Address
Dr. ETHAN TERRY STOCKTON DPT
7520 ROSETTE DR NW
ALBUQUERQUE, NM 87120-5280
Phone number: 505-206-1148
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Mailing Address
Dr. ETHAN TERRY STOCKTON DPT
7520 ROSETTE DR NW
ALBUQUERQUE, NM 87120-5280
Phone number: 505-206-1148
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