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Individual

MYRRHINE FALLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6020 CONSTITUTION AVE. NE, SUITE 4, ALBUQUERQUE, NM 87110
(505) 255-5099
Mailing address
6020 CONSTITUTION AVE NE STE 4, ALBUQUERQUE, NM 87110-5931
(505) 255-5099

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-6264
NM

Other

Enumeration date
08/10/2017
Last updated
07/21/2022
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