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Individual

TEO CLAIRMONT BIELE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1300 LUISA ST STE 21, SANTA FE, NM 87505-4177
(505) 603-6063
Mailing address
1300 LUISA ST STE 21, SANTA FE, NM 87505-4177
(505) 603-6063

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4686
NM

Other

Enumeration date
01/22/2022
Last updated
01/22/2022
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