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1962653014
TAYLOR LAYNE DICKERSON
LAS CRUCES, NM
NPI
1962653014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 3586)
Enumeration Date
2008-10-07
Last Update Date
2008-10-07
Business Address
-- TAYLOR LAYNE DICKERSON PT
1181 MALL DR
LAS CRUCES, NM 88011-8105
Phone number: 575-522-0766
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Mailing Address
-- TAYLOR LAYNE DICKERSON PT
2457 SILVER SAGE DR
LAS CRUCES, NM 88011-4179
Phone number: 918-814-5877
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