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1902976053
CYNTHIA S WALL
CLOVIS, NM
NPI
1902976053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 2735)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
-- CYNTHIA S WALL CCC SLP
1600 SUTTER PL
CLOVIS, NM 88101-4611
Phone number: 505-769-4490
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Mailing Address
-- CYNTHIA S WALL CCC SLP
2001 VIVIAN AVE
CLOVIS, NM 88101-5064
Phone number: 505-762-5046
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