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Individual

SUSAN J WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
1721 1/2 E UNIVERSITY AVE, LAS CRUCES, NM 88001-5780
(575) 621-1061
Mailing address
2861 MERIWETHER ST, LAS CRUCES, NM 88007-1950
(575) 621-1061

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
AT788
NM
2255A2300X
Athletic Trainer
Primary
AT788
NM

Other

Enumeration date
08/12/2019
Last updated
08/12/2019
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