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1982008256
JESSICA LYN STEM
AZTEC, NM
NPI
1982008256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NM 361)
Enumeration Date
2014-10-15
Last Update Date
2014-10-15
Business Address
MRS. JESSICA LYN STEM ATC
320 S CHURCH AVE
AZTEC, NM 87410-2107
Phone number: 505-486-6412
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Mailing Address
MRS. JESSICA LYN STEM ATC
320 S CHURCH AVE
AZTEC, NM 87410-2107
Phone number: 505-486-6412
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