Grace Du Pont

NPI 1063556694 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1063556694
Gender Female
Enumeration Date 02/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5200 COPPER AVE NE
ALBUQUERQUE NM, 87108-1473, US
Phone (505) 255-5099
Fax (505) 255-4206
Business Location
5200 COPPER AVE NE
ALBUQUERQUE NM, 87108-1473, US
Phone (505) 255-5099
Fax (505) 255-4206
Toxanomy
Taxonomy Code 235Z00000X
License State New Mexico
License Number 3754
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According to our database, Grace Du Pont NPI is 1063556694, taxonomy code is 235Z00000X and license number is 3754, license state is located at New Mexico. Grace Du Pont physically located at 5200 Copper Ave Ne, Albuquerque NM, 87108-1473. NPI Number Grace Du Pont has the Individual type.

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1063556694 NPI number is provided on an as is basis without warranty of any kind. 1063556694 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Du Pont are for informational purposes only.