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Individual

RICHARD R. MIRELES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 N SILVER ST, T OR C, NM 87901-1957
(888) 873-4221
Mailing address
5492 FIRE RIDGE CIR, EL PASO, TX 79932-1474

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1112415
TX
225100000X
Physical Therapist
Primary
3577
NM

Other

Enumeration date
06/19/2013
Last updated
06/19/2013
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