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1457880296
LAURA BUCKNELL
PORTALES, NM
NPI
1457880296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 5186)
Enumeration Date
2017-06-06
Last Update Date
2017-06-06
Business Address
LAURA BUCKNELL
1604 W 18TH ST
PORTALES, NM 88130-7097
Phone number: 575-359-4719
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Mailing Address
LAURA BUCKNELL
1500 S AVENUE K
PORTALES, NM 88130-7400
Phone number:
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