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1700073319
JACK EVANS LOER
ALBUQUERQUE, NM
NPI
1700073319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NM 5579)
Enumeration Date
2007-09-27
Last Update Date
2007-09-27
Business Address
-- JACK EVANS LOER LMT
9412 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87112-2878
Phone number: 505-553-5887
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Mailing Address
-- JACK EVANS LOER LMT
9811 DESERT MOUNTAIN RD NE
ALBUQUERQUE, NM 87122-3927
Phone number: 505-828-3448
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