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Individual

MS. GAIL ANNE SUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4600 MONTGOMERY BLVD NE, SUITE 100, ALBUQUERQUE, NM 87109-1210
(505) 727-4629
Mailing address
4600 MONTGOMERY BLVD NE, SUITE 100, ALBUQUERQUE, NM 87109-1210
(505) 727-4629

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
0515
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0515
MASSAGE THERAPIST LICENSE
NM
Enumeration date
04/04/2008
Last updated
10/19/2010
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