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1811025422
LISA TANNEN
ALBUQUERQUE, NM
NPI
1811025422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 305008)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
-- LISA TANNEN
10001 COORS BYP NW #227
ALBUQUERQUE, NM 87114-4024
Phone number: 505-803-2072
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Mailing Address
-- LISA TANNEN
10001 COORS BYP NW #227
ALBUQUERQUE, NM 87114-4024
Phone number: 505-803-2072
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