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Individual

STEPHANIE GEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6020 CONSTITUTION AVE NE, SUITE 4, ALBUQUERQUE, NM 87110-5900
(505) 255-5099
(505) 255-4206
Mailing address
6020 CONSTITUTION AVE NE, SUITE 4, ALBUQUERQUE, NM 87110-5900
(505) 255-5099
(505) 255-4206

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0927
NM

Other

Enumeration date
10/03/2014
Last updated
10/03/2014
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