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Individual

MR. SAMUEL MARK ZULUETA GALARPE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1831 CAMINO DEL LLANO, BELEN, NM 87002
(954) 593-5580
Mailing address
1020 W ARAGON RD APT B37, BELEN, NM 87002-2946
(954) 593-5580

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4615
NM
225100000X
Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205215852
NA
Enumeration date
05/28/2015
Last updated
01/30/2019
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