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1205987575
CONNIE CASSIDY
ALBUQUERQUE, NM
NPI
1205987575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 2689)
Enumeration Date
2007-01-15
Last Update Date
2007-07-09
Business Address
-- CONNIE CASSIDY
6400 UPTOWN BLVD NE MEDICAID
ALBUQUERQUE, NM 87110-4204
Phone number: 505-880-3700
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Mailing Address
-- CONNIE CASSIDY
6316 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110-5944
Phone number: 505-255-8337
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