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Individual

JASMINE VICTORIA GALLEGOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6336 PRAIRIE RD NE, ALBUQUERQUE, NM 87109-1902
(505) 430-0709
Mailing address
6336 PRAIRIE RD NE, ALBUQUERQUE, NM 87109-1902

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NM

Other

Enumeration date
06/16/2026
Last updated
06/16/2026
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