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1801359203
CARRIE RAYE GRAVATT
PUEBLO, CO
NPI
1801359203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CO 0001411)
Enumeration Date
2019-04-11
Last Update Date
2019-04-11
Business Address
CARRIE RAYE GRAVATT M.A., CCC-SLP
3960 IVYWOOD LN
PUEBLO, CO 81005-2567
Phone number: 719-924-9850
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Mailing Address
CARRIE RAYE GRAVATT M.A., CCC-SLP
3 WINDFLOWER CT
PUEBLO, CO 81001-1119
Phone number: 719-250-1144
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