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1205087186
TABITHA STAR HAYNIE
CLOVIS, NM
NPI
1205087186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NM C-4264)
Enumeration Date
2008-10-09
Last Update Date
2008-10-09
Business Address
MRS. TABITHA STAR HAYNIE M.S., CFY-SLP
2221 DILLON RD RETIREMENT RANCH INC OF CLOVIS
CLOVIS, NM 88101-9454
Phone number: 575-762-4495
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Mailing Address
MRS. TABITHA STAR HAYNIE M.S., CFY-SLP
2437 E 21ST ST UNIT C
CLOVIS, NM 88101-3940
Phone number: 575-309-6324
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