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Individual

ANGIE KIGER-LEGRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
803 HACIENDA LN, BLOOMFIELD, NM 87413-5109
(505) 632-1823
Mailing address
400 N 7TH ST, BLOOMFIELD, NM 87413-5519
(505) 947-5377

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0555
NM

Other

Enumeration date
08/12/2010
Last updated
08/12/2010
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