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1952185837
CHARLENE BLACKLEDGE
ALBUQUERQUE, NM
NPI
1952185837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM 0196)
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
CHARLENE BLACKLEDGE COTA
5200 COPPER AVE NE
ALBUQUERQUE, NM 87108-1473
Phone number: 505-266-5557
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Mailing Address
CHARLENE BLACKLEDGE COTA
14200 NAMBE AVE NE
ALBUQUERQUE, NM 87123-1829
Phone number:
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