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1013380161
CIARA FOUST
PORTALES, NM
NPI
1013380161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 5895)
Enumeration Date
2015-11-10
Last Update Date
2015-11-10
Business Address
-- CIARA FOUST
501 S ABILENE AVE
PORTALES, NM 88130-6380
Phone number: 575-359-3707
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Mailing Address
-- CIARA FOUST
PO BOX 847
PORTALES, NM 88130-0847
Phone number: 575-562-4458
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