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1881835155
DEANNA DOREEN JAQUEZ
LAS CRUCES, NM
NPI
1881835155
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Former Name
DEANNA DOREEN BANEGAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 4479)
Enumeration Date
2009-03-17
Last Update Date
2009-03-17
Business Address
Mrs. DEANNA DOREEN JAQUEZ SLP
505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001-1206
Phone number: 575-527-5823
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Mailing Address
Mrs. DEANNA DOREEN JAQUEZ SLP
505 S MAIN ST SUITE 249
LAS CRUCES, NM 88001-1206
Phone number: 575-527-5823
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