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1720110091
REGINA GORUM
ALBUQUERQUE, NM
NPI
1720110091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 1038)
Enumeration Date
2007-03-12
Last Update Date
2007-07-09
Business Address
-- REGINA GORUM PT
1201 ATRISCO DR SW ATRISCO ES
ALBUQUERQUE, NM 87105-3550
Phone number: 505-877-2772
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Mailing Address
-- REGINA GORUM PT
1201 ATRISCO DR SW ATRISCO ES
ALBUQUERQUE, NM 87105-3550
Phone number: 505-877-2772
Copy
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