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1922141399
DAVID FERMIN GALLEGOS
ANTHONY, NM
NPI
1922141399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM 196)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
Mr. DAVID FERMIN GALLEGOS ATC
6301 HIGHWAY 28
ANTHONY, NM 88021-8597
Phone number: 505-882-6336
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Mailing Address
Mr. DAVID FERMIN GALLEGOS ATC
1933 SANTA INEZ
LAS CRUCES, NM 88011-4160
Phone number: 505-532-8080
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