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LOS LUNAS, NM
NPI1548575038
Entity TypeOrganization
Authorized ContactALISHA J ROMERO-MOORE
Owner
505-463-1874
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  5495)
Enumeration Date2010-08-09
Last Update Date2017-03-06
Business Address
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75 ROMERO ROAD
LOS LUNAS, NM 87031
Phone number: 505-463-1874
Mailing Address
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PO BOX 218
TOME, NM 87060-0218
Phone number: 505-463-1874