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Individual

KIMBERLEE ADONNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1809 SILVER AVE SE, APT 1, ALBUQUERQUE, NM 87106-5408
(505) 504-1479
Mailing address
1809 SILVER AVE SE, APT 1, ALBUQUERQUE, NM 87106-5408
(505) 504-1479

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4319
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19036752
NM
Enumeration date
09/03/2008
Last updated
09/06/2016
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