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1831554856
IVAN BLOCK
SANTA FE, NM
NPI
1831554856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NM 5067)
Enumeration Date
2015-12-17
Last Update Date
2015-12-17
Business Address
-- IVAN BLOCK L.M.T.
2725 CAMINO CHUECO
SANTA FE, NM 87505-5249
Phone number: 786-246-8005
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Mailing Address
-- IVAN BLOCK L.M.T.
2725 CAMINO CHUECO
SANTA FE, NM 87505-5249
Phone number: 786-246-8005
Copy
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