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Individual

MRS. DEBRA JANE EASTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2539 MORNINGSIDE DR NE, ABQ, NM 87110
(505) 830-4588
(505) 830-2946
Mailing address
PO BOX 3855, ABQ, NM 87190-3855
(505) 830-4588
(505) 830-2946

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1449
NM

Other

Enumeration date
11/16/2007
Last updated
11/16/2007
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