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1366758393
MARLENE B SALAS-PROVANCE
LAS CRUCES, NM
NPI
1366758393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 3836)
Enumeration Date
2010-08-27
Last Update Date
2010-08-27
Business Address
Dr. MARLENE B SALAS-PROVANCE Ph.D.
1405 INTERNATIONAL MALL SPEECH BLDG. ROOM 158
LAS CRUCES, NM 88003-1279
Phone number: 575-646-3906
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Mailing Address
Dr. MARLENE B SALAS-PROVANCE Ph.D.
P.O. BOX 30001/MSC 3SPE
LAS CRUCES, NM 88003-8001
Phone number: 575-646-2364
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