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Individual

ROLANDO MALANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
357 BOSQUE, ALAMOGORDO, NM 88310-7863
(575) 725-1472
Mailing address
357 BOSQUE, ALAMOGORDO, NM 88310-7863
(575) 725-1472

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1264085
TX
225100000X
Physical Therapist
4796
NM
225100000X
Physical Therapist
Primary
PT4796
NM

Other

Enumeration date
07/05/2016
Last updated
04/01/2022
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