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Individual

BYBEE L WOODWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2599 SANDHILL RD, LAS CRUCES, NM 88012-7403
(575) 644-0113
Mailing address
2599 SANDHILL RD, LAS CRUCES, NM 88012-7403
(575) 644-0113

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
4738
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4738
WORKERS COMPENSATION
NM
Enumeration date
03/01/2011
Last updated
03/01/2011
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