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1962738112
LISA RENEE BANUELOS-MARTIN
LIVINGSTON, MT
NPI
1962738112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MT 1225)
Enumeration Date
2009-10-22
Last Update Date
2014-03-11
Business Address
Mrs. LISA RENEE BANUELOS-MARTIN MA CCC-SLP
601 ROBIN LN
LIVINGSTON, MT 59047-3810
Phone number: 406-222-7231
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Mailing Address
Mrs. LISA RENEE BANUELOS-MARTIN MA CCC-SLP
504 S 13TH ST
LIVINGSTON, MT 59047-3727
Phone number: 406-222-3541
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