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1942440821
TINA BENALLY
FARMINGTON, NM
NPI
1942440821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM 448)
Enumeration Date
2009-03-04
Last Update Date
2009-03-04
Business Address
-- TINA BENALLY AT
3501 N BUTLER AVE STE 101& 102
FARMINGTON, NM 87401-6429
Phone number: 505-326-0064
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Mailing Address
-- TINA BENALLY AT
3501 N BUTLER AVE STE 101& 102
FARMINGTON, NM 87401-6429
Phone number: 505-326-0064
Copy
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