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1114302148
JOSHUAA DOMINIC ALLISON-BURBANK
SHIPROCK, NM
NPI
1114302148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KS 4024)
Enumeration Date
2015-07-20
Last Update Date
2020-02-21
Business Address
Mr. JOSHUAA DOMINIC ALLISON-BURBANK MA, CCC-SLP
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6001
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Mailing Address
Mr. JOSHUAA DOMINIC ALLISON-BURBANK MA, CCC-SLP
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6001
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