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1912050204
MANDY DAWN MCDANIEL
CLOVIS, NM
NPI
1912050204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM C 3791)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
-- MANDY DAWN MCDANIEL SLP CCC
1600 SUTTER PL
CLOVIS, NM 88101-4611
Phone number: 505-769-4490
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Mailing Address
-- MANDY DAWN MCDANIEL SLP CCC
501 CR E
CLOVIS, NM 88101-9261
Phone number: 505-683-5172
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