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1477818383
TANA POOL
LAS CRUCES, NM
NPI
1477818383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM C-5130)
Enumeration Date
2012-07-06
Last Update Date
2012-07-06
Business Address
-- TANA POOL SLP-CF
1350 HILLRISE CIR
LAS CRUCES, NM 88011-4759
Phone number: 575-522-9528
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Mailing Address
-- TANA POOL SLP-CF
733 STAGECOACH DR
LAS CRUCES, NM 88011-8013
Phone number: 505-553-0792
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