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1003332990
KATELYN ANNE FERGUSON
GALLUP, NM
NPI
1003332990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2017-08-22
Last Update Date
2019-03-22
Business Address
KATELYN ANNE FERGUSON
1000 E AZTEC AVE
GALLUP, NM 87301-5509
Phone number: 505-721-1807
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Mailing Address
KATELYN ANNE FERGUSON
1500 S AVE K STATION 3, SHROC
PORTALES, NM 88130
Phone number:
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