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1962690172
LISA BONAHOOM
ALBUQUERQUE, NM
NPI
1962690172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY C-4234)
Enumeration Date
2007-10-12
Last Update Date
2007-10-12
Business Address
-- LISA BONAHOOM
5200 COPPER AVE NE
ALBUQUERQUE, NM 87108-1473
Phone number: 505-255-5099
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Mailing Address
-- LISA BONAHOOM
5200 COPPER AVE NE
ALBUQUERQUE, NM 87108-1473
Phone number: 505-255-5099
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