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Individual

JULIA VALLEJOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1201 ATRISCO DR SW, ATRISCO ES, ALBUQUERQUE, NM 87105-3550
(505) 877-2772
Mailing address
1201 ATRISCO DR SW, ATRISCO ES, ALBUQUERQUE, NM 87105-3550
(505) 877-2772

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4014
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01281372
NM
Enumeration date
10/24/2007
Last updated
10/24/2007
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