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1760752570
RICHARD LAWRENCE SEABORN
RIO RANCHO, NM
NPI
1760752570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 1260)
Enumeration Date
2012-01-10
Last Update Date
2016-03-24
Business Address
Mr. RICHARD LAWRENCE SEABORN PT
4100 SARA RD SE PRESBYTERIAN INTEL HELATH FOR LIFE CENTER
RIO RANCHO, NM 87124-1025
Phone number: 505-253-7900
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Mailing Address
Mr. RICHARD LAWRENCE SEABORN PT
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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