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1700157781
NANCI WALLACE
LOS LUNAS, NM
NPI
1700157781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: NM 8567)
Enumeration Date
2012-01-23
Last Update Date
2022-07-21
Business Address
-- NANCI WALLACE LMT
2670 SCARLET SAGE RD SW
LOS LUNAS, NM 87031-6488
Phone number: 505-916-1233
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Mailing Address
-- NANCI WALLACE LMT
2670 SCARLET SAGE RD SW
LOS LUNAS, NM 87031-6488
Phone number: 505-916-1233
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