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1174697650
BRYAN KENNETH TIERNEY
LAS CRUCES, NM
NPI
1174697650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 2754)
Enumeration Date
2006-11-17
Last Update Date
2022-03-10
Business Address
BRYAN KENNETH TIERNEY MA, CCC-SLP
301 PERKINS DR. STE C
LAS CRUCES, NM 88005-3248
Phone number: 575-523-7243
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Mailing Address
BRYAN KENNETH TIERNEY MA, CCC-SLP
301 PERKINS DR. STE C
LAS CRUCES, NM 88005-3248
Phone number: 575-523-7243
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