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Individual

CHRIS A. ENTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CCC-SLP

Contact information

Practice address
3105 PUEBLO HAWIKUH, SANTA FE, NM 87507-2514
(505) 690-7221
Mailing address
3105 PUEBLO HAWIKUH, SANTA FE, NM 87507-2514
(505) 690-7221

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3262
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073661336
EMPLOYER NPI
05
95475524
NM
Enumeration date
03/06/2008
Last updated
03/06/2008
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