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Individual

DEBRA SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2302 OPAL ST, CARLSBAD, NM 88220-3656
(575) 885-0982
Mailing address
PO BOX 484, CARLSBAD, NM 88221-0484
(575) 885-0982

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2892
NM

Other

Enumeration date
01/11/2010
Last updated
01/11/2010
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