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1770170219
TANA ELIZABETH BEVERWYK-ABOUDA
ESPANOLA, NM
NPI
1770170219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM 798784)
Enumeration Date
2020-12-30
Last Update Date
2020-12-30
Business Address
Ms. TANA ELIZABETH BEVERWYK-ABOUDA CPT, EIM
628 N RIVERSIDE DR STE C
ESPANOLA, NM 87532-2620
Phone number: 505-927-8516
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Mailing Address
Ms. TANA ELIZABETH BEVERWYK-ABOUDA CPT, EIM
33-A SANTA FE COUNTY ROAD 119-N
SANTA FE, NM 87506
Phone number: 505-927-8516
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