Individual
DENISE D DUREPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFY
Contact information
Practice address
8901 BLUEWATER RD NW, JIMMY CARTER MS, ALBUQUERQUE, NM 87121-2024
(505) 833-7540
Mailing address
8901 BLUEWATER RD NW, JIMMY CARTER MS, ALBUQUERQUE, NM 87121-2024
(505) 833-7540
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3908
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62151771
—
NM
Enumeration date
03/13/2007
Last updated
07/09/2007
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