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1073644126
BRENDA LEE MACHAIN
GALLUP, NM
NPI
1073644126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 3476)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
Ms. BRENDA LEE MACHAIN SLP
1000 E AZTEC AVE
GALLUP, NM 87301-5509
Phone number: 505-721-1800
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Mailing Address
Ms. BRENDA LEE MACHAIN SLP
PO BOX 1177
FORT DEFIANCE, AZ 86504-1177
Phone number: 505-777-2507
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