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1023366937
ETHELINE JOSE
ALBUQUERQUE, NM
NPI
1023366937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM none assigned)
Enumeration Date
2012-08-27
Last Update Date
2012-08-27
Business Address
-- ETHELINE JOSE SLP
5700 HENDRIX RD NE GOVENOR BENT ES
ALBUQUERQUE, NM 87110-1257
Phone number: 505-831-9797
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Mailing Address
-- ETHELINE JOSE SLP
5700 HENDRIX RD NE GOVENOR BENT ES
ALBUQUERQUE, NM 87110-1257
Phone number: 505-831-9797
Copy
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