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1659711612
STACY V MORA
LAS CRUCES, NM
NPI
1659711612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM C-5331)
Enumeration Date
2013-07-04
Last Update Date
2013-07-04
Business Address
-- STACY V MORA ST
1681 HICKORY LOOP
LAS CRUCES, NM 88005-6502
Phone number: 575-652-3155
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Mailing Address
-- STACY V MORA ST
301 PERKINS DR STE B
LAS CRUCES, NM 88005-3248
Phone number: 575-647-3773
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