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1871317750
KRUPANIDHI PRAKASH
SANTA FE, NM
NPI
1871317750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM SAH-2024-0112)
Enumeration Date
2024-11-08
Last Update Date
2024-11-08
Business Address
KRUPANIDHI PRAKASH
1300 CAMINO SIERRA VISTA OSW
SANTA FE, NM 87505
Phone number: 505-467-2504
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Mailing Address
KRUPANIDHI PRAKASH
1300 CAMINO SIERRA VISTA OSW
SANTA FE, NM 87505
Phone number: 505-467-2504
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