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Individual

MS. LAURIE BUNTEN THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4507 COMPOUND NORTH CT NW, ALBUQUERQUE, NM 87107-3463
(505) 321-2799
Mailing address
4507 COMPOUND NORTH CT NW, ALBUQUERQUE, NM 87107-3463
(505) 321-2799

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
513
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1532
NM
Enumeration date
12/01/2006
Last updated
07/09/2007
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