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Individual

MR. JOHN CHARLES CUMMINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT MMP

Contact information

Practice address
2620 SAN MATCO BLVD NE, SUITE F, ALBUQUERQUE, NM 87110-3163
(505) 888-4044
(505) 888-1932
Mailing address
2620 SAN MATCO BLVD NE, SUITE F, ALBUQUERQUE, NM 87110-3163
(505) 888-4044
(505) 888-1932

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NM4767
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00RM06
BCBS
NM
Enumeration date
08/30/2006
Last updated
07/08/2007
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