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Individual

MARLA LOREE WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
147 MESCALERO TRL, RUIDOSO, NM 88345-6090
(575) 257-5820
Mailing address
PO BOX 278, ALTO, NM 88312-0278
(575) 973-4973

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
05/20/2008
Last updated
05/20/2008
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