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1346324837
LARA ELIZABETH WENTWORTH
ALBUQUERQUE, NM
NPI
1346324837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 2218)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
-- LARA ELIZABETH WENTWORTH MS, CCC-SLP
3530 PAN AMERICAN FWY NE STE D
ALBUQUERQUE, NM 87107-4793
Phone number: 505-888-4469
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Mailing Address
-- LARA ELIZABETH WENTWORTH MS, CCC-SLP
7303 WILD OLIVE AVE NE
ALBUQUERQUE, NM 87113-2079
Phone number: 505-888-4469
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