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Individual

SEAN LEVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.T.

Contact information

Practice address
3301 4TH ST NW, APT #5, ALBUQUERQUE, NM 87107-1353
(505) 314-4430
Mailing address
3301 4TH ST NW, APT #5, ALBUQUERQUE, NM 87107-1353
(505) 314-4430

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
#7771
NM

Other

Enumeration date
05/06/2014
Last updated
05/27/2014
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