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Individual

MARGARET A. MAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
402 N 2ND ST, GRANTS, NM 87020
(505) 285-2614
Mailing address
1039 E HIGH ST, NO. 2, GRANTS, NM 87020-2496
(505) 876-5305
(505) 287-8487

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1071
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
L8349
NM
Enumeration date
02/16/2007
Last updated
07/08/2007
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