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1336538263
ALYSSA POTANCE
ALBUQUERQUE, NM
NPI
1336538263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM C-5673)
Enumeration Date
2015-01-15
Last Update Date
2015-01-15
Business Address
-- ALYSSA POTANCE
6400 UPTOWN BLVD NE
ALBUQUERQUE, NM 87110-4204
Phone number: 505-855-9805
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Mailing Address
-- ALYSSA POTANCE
6400 UPTOWN BLVD NE
ALBUQUERQUE, NM 87110-4204
Phone number: 505-855-9805
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