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1740639376
SHANNON GRACE CARROLL
ALBUQUERQUE, NM
NPI
1740639376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM C-5967)
Enumeration Date
2016-06-04
Last Update Date
2016-07-11
Business Address
-- SHANNON GRACE CARROLL CF-SLP
12908 KACHINA PL NE APT C
ALBUQUERQUE, NM 87112-3706
Phone number: 505-610-0841
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Mailing Address
-- SHANNON GRACE CARROLL CF-SLP
12908 KACHINA PL NE APT C
ALBUQUERQUE, NM 87112-3706
Phone number: 505-610-0841
Copy
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