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Individual

FOREST NEAL JARNAGIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
6400 NATALIE AVE NE, ALBUQUERQUE, NM 87110-1308
(505) 379-3216
Mailing address
6400 NATALIE AVE NE, ALBUQUERQUE, NM 87110-1308
(505) 379-3216

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT898
NM

Other

Enumeration date
06/04/2020
Last updated
06/04/2020
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