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Individual

BRUCE HOLSAPPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., CCC SLP

Contact information

Practice address
5321 MENAUL BLVD NE STE A, ALBUQUERQUE, NM 87110-3127
(505) 889-3412
(505) 889-3422
Mailing address
PO BOX 37440, ALBUQUERQUE, NM 87176-7440
(505) 889-3412
(505) 889-3422

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2921
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G4949
NM
Enumeration date
12/29/2006
Last updated
07/09/2007
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