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1730323973
VICROR RIVERA
LAS CRUCES, NM
NPI
1730323973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Z00000X Orthotist
Enumeration Date
2009-04-30
Last Update Date
2009-04-30
Business Address
-- VICROR RIVERA
2530 S TELSHOR BLVD SUITE 107
LAS CRUCES, NM 88011-4907
Phone number: 575-571-3595
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Mailing Address
-- VICROR RIVERA
2521 N MAIN UNIT 1 - 173
LAS CRUCES, NM 88001-1154
Phone number: 575-571-3595
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