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1376109181
KANNA SHEPHERD
ALBUQUERQUE, NM
NPI
1376109181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA 200683)
Enumeration Date
2019-05-16
Last Update Date
2019-05-16
Business Address
KANNA SHEPHERD LOTR
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109-1219
Phone number: 505-727-7800
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Mailing Address
KANNA SHEPHERD LOTR
PO BOX 654
LAKE PROVIDENCE, LA 71254-0654
Phone number:
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