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1417784372
MICHAEL HATHCOCK
SHIPROCK, NM
NPI
1417784372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM SAH-2024-0023)
Enumeration Date
2024-09-16
Last Update Date
2024-09-16
Business Address
MICHAEL HATHCOCK MS CCC-SLP
PO BOX 1199
SHIPROCK, NM 87420-1199
Phone number: 505-368-4984
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Mailing Address
MICHAEL HATHCOCK MS CCC-SLP
PO BOX 1199
SHIPROCK, NM 87420-1199
Phone number: 505-368-4984
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