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1689601924
LISA ELLEN SANDOVAL
ROSWELL, NM
NPI
1689601924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM 186)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
Mrs. LISA ELLEN SANDOVAL ATC
500 W HOBBS ST
ROSWELL, NM 88203-1834
Phone number: 505-637-3200
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Mailing Address
Mrs. LISA ELLEN SANDOVAL ATC
2803 PURDUE DR
ROSWELL, NM 88203-2375
Phone number: 505-625-1968
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