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Individual

DAVYNNE TEALESA BURR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4927
Mailing address
643 CYAN CT NW, ALBUQUERQUE, NM 87120-1133
(505) 486-6848

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4918
NM

Other

Enumeration date
09/23/2016
Last updated
09/23/2016
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