STACEY JUSTINE BERNAL

PUEBLO, CO
NPI1386015063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CO  0001282)
Enumeration Date2015-10-07
Last Update Date2015-10-07
Business Address
-- STACEY JUSTINE BERNAL M.A.
704 FORTINO BLVD SUITE A
PUEBLO, CO 81008-2086
Phone number: 719-305-8313
Mailing Address
-- STACEY JUSTINE BERNAL M.A.
704 FORTINO BLVD SUITE A
PUEBLO, CO 81008-2086
Phone number: 719-305-8313
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