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Individual

MISS SARAHJANE NOVAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18 TECOLOTE, SANDIA PARK, NM 87047-9000
(505) 264-3340
Mailing address
18 TECOLOTE CT, SANDIA PARK, NM 87047
(505) 264-3340

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
509551103
NM

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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