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1972918548
JASON MICHAEL PEREA
ALBUQUERQUE, NM
NPI
1972918548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 4471)
Enumeration Date
2014-06-23
Last Update Date
2014-06-23
Business Address
Mr. JASON MICHAEL PEREA DPT
3820 COMMONS AVE NE
ALBUQUERQUE, NM 87109-5831
Phone number: 505-343-1862
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Mailing Address
Mr. JASON MICHAEL PEREA DPT
3820 COMMONS AVE NE
ALBUQUERQUE, NM 87109-5831
Phone number: 505-343-1862
Copy
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