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Individual

KIM MARIE LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT

Contact information

Practice address
2351 INDIAN WELLS RD, ALAMOGORDO, NM 88310-4607
(575) 439-1397
(575) 437-2622
Mailing address
PO BOX 2860, ALAMOGORDO, NM 88311-2860
(575) 437-3351
(575) 437-2622

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2919
NM

Other

Enumeration date
04/24/2012
Last updated
04/24/2012
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