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Individual

JOSHUA DAVID SEARS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
301 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1527
(505) 345-7727
Mailing address
10475 CALLE ACANTA NW, ALBUQUERQUE, NM 87114-5233
(505) 401-0791

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
292
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22
REHABILITATIVE SERVICES
NM
Enumeration date
07/05/2006
Last updated
07/08/2007
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