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Individual

NICOLE SLAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8300 WYOMING BLVD NE, #212, ALBUQUERQUE, NM 87113-1997
(505) 414-0235
Mailing address
8300 WYOMING BLVD NE, #212, ALBUQUERQUE, NM 87113-1997

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
09/10/2014
Last updated
09/10/2014
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