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Individual

KRYSTAL VIGIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC- SLP

Contact information

Practice address
7216 LEW WALLACE DR NE APT A302, ALBUQUERQUE, NM 87109-6313
(505) 818-7278
Mailing address
7216 LEW WALLACE DR NE APT A302, ALBUQUERQUE, NM 87109-6313
(505) 818-7278

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14110220
235Z00000X
Speech-Language Pathologist
SLP.0002597
CO

Other

Enumeration date
12/14/2016
Last updated
03/29/2023
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