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Individual

MEGDA-LYN FREESTONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6501 CYPRESS POINT WAY NE, ALBUQUERQUE, NM 87111-6411
(505) 379-1550
Mailing address
609 PUFFIN ST SW, ALBUQUERQUE, NM 87121-8911
(505) 385-6531

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
11/29/2011
Last updated
11/29/2011
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