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1962951194
TERESA LARA
LOS LUNAS, NM
NPI
1962951194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM 3599)
Enumeration Date
2016-09-29
Last Update Date
2016-09-29
Business Address
-- TERESA LARA
7 HENDRIX LN
LOS LUNAS, NM 87031-6917
Phone number: 505-967-1834
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Mailing Address
-- TERESA LARA
7 HENDRIX LN
LOS LUNAS, NM 87031-6917
Phone number: 505-967-1834
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