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1932232519
MICHELE TISDALE
SANTA FE, NM
NPI
1932232519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NM 118)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
MS. MICHELE TISDALE OT
1300 CAMINO SIERRA VIS 129
SANTA FE, NM 87505-1007
Phone number: 505-467-2504
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Mailing Address
MS. MICHELE TISDALE OT
1408 MIRACERROS N
SANTA FE, NM 87505-4018
Phone number: 505-467-3000
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