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1811045008
SUSAN SOPHIA
ALBUQUERQUE, NM
NPI
1811045008
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Former Name
SUSAN MIKULKA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NM 329)
Enumeration Date
2007-01-06
Last Update Date
2007-07-09
Business Address
Ms. SUSAN SOPHIA O.T.
2724 MORNINGSIDE DR NE
ALBUQUERQUE, NM 87110-2940
Phone number: 505-883-3102
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Mailing Address
Ms. SUSAN SOPHIA O.T.
2724 MORNINGSIDE DR NE
ALBUQUERQUE, NM 87110-2940
Phone number: 505-883-3102
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