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Individual

JOHN WARREN WOODFILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA MED

Contact information

Practice address
19 WOODFILL ROAD, LINDRITH, NM 87029-0113
(505) 774-6672
(505) 774-6664
Mailing address
19 WOODFILL ROAD, LINDRITH, NM 87029-0113
(505) 774-6672
(505) 774-6664

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary

Other

Enumeration date
03/29/2007
Last updated
07/08/2007
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