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1750931903
TANISHA REA ADAY
CLOVIS, NM
NPI
1750931903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NM SLP5752)
Enumeration Date
2019-09-18
Last Update Date
2019-09-18
Business Address
MRS. TANISHA REA ADAY M.S., CCC-SLP
1600 SUTTER PL
CLOVIS, NM 88101-4611
Phone number: 575-769-4490
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Mailing Address
MRS. TANISHA REA ADAY M.S., CCC-SLP
PO BOX 19000
CLOVIS, NM 88102-9000
Phone number: 575-769-4490
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