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1902342348
JUSTIN BOOKER
FARMINGTON, NM
NPI
1902342348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM 3594)
Enumeration Date
2017-01-09
Last Update Date
2017-01-09
Business Address
-- JUSTIN BOOKER
806 W MAPLE ST
FARMINGTON, NM 87401-5631
Phone number: 505-325-2910
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Mailing Address
-- JUSTIN BOOKER
801 APACHE AVE
AZTEC, NM 87410-2210
Phone number: 505-402-5107
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