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Individual

ELLEN COMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
915 VASSAR DR NE STE 170, ALBUQUERQUE, NM 87106-2727
(505) 272-8833
(505) 272-8316
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
001039
IA
103G00000X
Clinical Neuropsychologist
0810003288
VA
103G00000X
Clinical Neuropsychologist
Primary
1143
NM

Other

Enumeration date
07/31/2006
Last updated
03/22/2017
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