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Individual

MS. JUANITA MARQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
5301 SAINT JOSEPHS DR NW, ALBUQUERQUE, NM 87120-1712
(505) 831-8421
Mailing address
5301 SAINT JOSEPHS DR NW, ALBUQUERQUE, NM 87120-1712
(505) 831-8421

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
517
NM

Other

Enumeration date
04/26/2014
Last updated
04/26/2014
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