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Individual

MR. TIMOTHY J FAILS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC/L

Contact information

Practice address
301 LOMA COLORADO BLVD NE, RIO RANCHO, NM 87124-6562
(505) 896-9505
Mailing address
301 LOMA COLORADO BLVD NE, RIO RANCHO, NM 87124-6562
(505) 896-9505

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
396
NM

Other

Enumeration date
07/24/2007
Last updated
04/10/2015
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