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Individual

JACQUELINE M NOLTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
5700 HARPER DR NE STE 110, ALBUQUERQUE, NM 87109-3540
(505) 823-9166
Mailing address
4408 SNOWFLAKE DR NW, ALBUQUERQUE, NM 87114-4266
(505) 697-2691

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1163
NM

Other

Enumeration date
10/14/2021
Last updated
10/14/2021
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