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1841317880
CARL HEINZ LAITENBERGER
GALLUP, NM
NPI
1841317880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 3044)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Mr. CARL HEINZ LAITENBERGER PT
1000 E AZTEC AVE
GALLUP, NM 87301-5509
Phone number: 505-721-1812
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Mailing Address
Mr. CARL HEINZ LAITENBERGER PT
1018 E MESA AVE
GALLUP, NM 87301-5447
Phone number: 505-863-3134
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