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1891841540
KENNETH J CORDOVA
ALBUQUERQUE, NM
NPI
1891841540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NM 2214)
Enumeration Date
2007-01-26
Last Update Date
2009-03-02
Business Address
-- KENNETH J CORDOVA MOTRL
2916 DOROTHY ST NE
ALBUQUERQUE, NM 87112-1619
Phone number: 505-244-4175
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Mailing Address
-- KENNETH J CORDOVA MOTRL
PO BOX 53363
ALBUQUERQUE, NM 87153-3363
Phone number: 505-730-9540
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