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1922420165
EVARISTO QUIROZ
ROSWELL, NM
NPI
1922420165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM 1011)
Enumeration Date
2014-01-07
Last Update Date
2014-01-07
Business Address
-- EVARISTO QUIROZ
300 N KENTUCKY AVE
ROSWELL, NM 88201-4636
Phone number: 575-627-2500
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Mailing Address
-- EVARISTO QUIROZ
300 N KENTUCKY AVE
ROSWELL, NM 88201-4636
Phone number:
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ADVANCED THERAPY SOLUTIONS, LLC