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1700955523
ROBIN ELAINE FOGERTY
CLOVIS, NM
NPI
1700955523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NM 2185)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
-- ROBIN ELAINE FOGERTY OTR L
1600 SUTTER PL
CLOVIS, NM 88101-4611
Phone number: 505-769-4490
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Mailing Address
-- ROBIN ELAINE FOGERTY OTR L
3328 LEW WALLACE DR
CLOVIS, NM 88101-2740
Phone number: 505-763-1851
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