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1790939767
KATHLEEN CHARLEY
FARMINGTON, NM
NPI
1790939767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NM A-0459)
Enumeration Date
2008-11-04
Last Update Date
2008-11-04
Business Address
Ms. KATHLEEN CHARLEY PTA
200 N ORCHARD AVE
FARMINGTON, NM 87401-6225
Phone number: 505-325-8231
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Mailing Address
Ms. KATHLEEN CHARLEY PTA
200 N ORCHARD AVE
FARMINGTON, NM 87401-6225
Phone number: 505-325-8231
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