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1447381041
WILLIAM RAYMOND LARRICK
SHIPROCK, NM
NPI
1447381041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 1422)
Enumeration Date
2007-03-08
Last Update Date
2008-09-29
Business Address
-- WILLIAM RAYMOND LARRICK CCC-SLP
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-7100
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Mailing Address
-- WILLIAM RAYMOND LARRICK CCC-SLP
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-7100
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