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1891151643
PETER BRUZAS
ROSWELL, NM
NPI
1891151643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM 613)
Enumeration Date
2016-01-09
Last Update Date
2016-01-09
Business Address
-- PETER BRUZAS LAT, ATC, CSCS
113 E COLLEGE BLVD
ROSWELL, NM 88201-5158
Phone number: 575-622-6500
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Mailing Address
-- PETER BRUZAS LAT, ATC, CSCS
3300 N ATKINSON AVE APT 15
ROSWELL, NM 88201-7819
Phone number: 704-249-5685
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