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Individual

TRACY COLVIN LANGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1508 LUZ DE SOL DR SE, RIO RANCHO, NM 87124-8726
(505) 450-4111
Mailing address
1508 LUZ DE SOL DR SE, RIO RANCHO, NM 87124-8726
(505) 450-4111

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
09/28/2009
Last updated
09/28/2009
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