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1760890487
JONATHAN PLANK
LAS CRUCES, NM
NPI
1760890487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM 486)
Enumeration Date
2014-07-25
Last Update Date
2014-07-25
Business Address
-- JONATHAN PLANK A.T.
2404 S LOCUST ST STE 5
LAS CRUCES, NM 88001-5789
Phone number: 575-522-0766
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Mailing Address
-- JONATHAN PLANK A.T.
2404 S. LOCUST STE. 5 SOUTHWEST SPORT AND SPINE CENTER, INC
LAS CRUCES, NM 88001-9998
Phone number: 575-522-0766
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