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Individual

KRISTINE DOMINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2300 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1851
(505) 272-0322
(505) 272-2014
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2739
NM

Other

Enumeration date
09/17/2006
Last updated
02/13/2025
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