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1225396971
JACQUELINE A TICE
ALBUQUERQUE, NM
NPI
1225396971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 1592)
Enumeration Date
2012-05-01
Last Update Date
2012-05-01
Business Address
Mrs. JACQUELINE A TICE
3530 PAN AMERICAN FWY NE STE D
ALBUQUERQUE, NM 87107-4793
Phone number: 505-888-4469
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Mailing Address
Mrs. JACQUELINE A TICE
3530 PAN AMERICAN FWY NE STE D
ALBUQUERQUE, NM 87107-4793
Phone number: 505-888-4469
Copy
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