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Individual

MRS. MARJORIE VIOLETTE HOUGHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13609 CALIFORNIA ST, SUITE 200, OMAHA, NE 68154-5260
(402) 891-1118
Mailing address
905A MOUNTAIN LAUREL CIR SE, ALBUQUERQUE, NM 87116-1252
(505) 999-9003

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0870
NM

Other

Enumeration date
05/23/2012
Last updated
05/23/2012
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