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1740689272
ERIN RANDOLPH
FARMINGTON, NM
NPI
1740689272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NM A-0920)
Enumeration Date
2014-08-20
Last Update Date
2014-08-20
Business Address
Mrs. ERIN RANDOLPH PTA
200 N ORCHARD AVE
FARMINGTON, NM 87401-6225
Phone number: 505-325-8231
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Mailing Address
Mrs. ERIN RANDOLPH PTA
2401 AVERY LN
FARMINGTON, NM 87402-1906
Phone number: 505-330-0818
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