Individual
MR. SHAYNE DAVID ADAM CLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
2620 SAN MATEO BLVD NE, SUITE F, ALBUQUERQUE, NM 87110-3165
(505) 888-4044
Mailing address
PO BOX 9277, ALBUQUERQUE, NM 87119-9277
(505) 459-8528
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4983
NM
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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