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Individual

CORAL NOBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC SLP

Contact information

Practice address
122 HOSPITAL RD, BRUSH, CO 80723-1702
(970) 842-2861
Mailing address
PO BOX 721, FORT MORGAN, CO 80701-0721
(904) 415-3229

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 9351
FL
235Z00000X
Speech-Language Pathologist
SP 18385
CA

Other

Enumeration date
09/14/2010
Last updated
09/14/2010
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