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1023531183
KLISS MOULTON
IDAHO FALLS, ID
NPI
1023531183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID TSLP3225)
Enumeration Date
2017-07-20
Last Update Date
2017-07-20
Business Address
KLISS MOULTON MS, SLP-CF
3715 WOODKING DR
IDAHO FALLS, ID 83404-4720
Phone number: 208-529-2255
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Mailing Address
KLISS MOULTON MS, SLP-CF
3150 SANDY DR
IDAHO FALLS, ID 83401-6012
Phone number:
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