SHANE BRATCHER

FARMINGTON, NM
NPI1578045506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  CF6493)
Enumeration Date2018-09-06
Last Update Date2018-09-06
Business Address
SHANE BRATCHER
5840 FORTUNA DR
FARMINGTON, NM 87402-8210
Phone number: 505-599-8625
Mailing Address
SHANE BRATCHER
5840 FORTUNA DR
FARMINGTON, NM 87402-8210
Phone number: 505-599-8625
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