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1104173624
JACQUELINE ROSE BERENS
ALBUQUERQUE, NM
NPI
1104173624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 4852)
Enumeration Date
2012-08-15
Last Update Date
2012-08-15
Business Address
Ms. JACQUELINE ROSE BERENS
213 QUINCY ST NE
ALBUQUERQUE, NM 87108-1342
Phone number: 505-385-3392
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Mailing Address
Ms. JACQUELINE ROSE BERENS
213 QUINCY ST NE
ALBUQUERQUE, NM 87108-1342
Phone number: 505-385-3392
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