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Individual

ISAIAH URRUTIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
115 CASEY JONES PL NE, ALBUQUERQUE, NM 87113-2420
(505) 553-3623
Mailing address
115 CASEY JONES PL NE, ALBUQUERQUE, NM 87113-2420
(505) 553-3623

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA100105
FL

Other

Enumeration date
07/11/2023
Last updated
07/11/2023
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