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1023783768
HEATHER TANNER ANTHON
BURLEY, ID
NPI
1023783768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID TSLP-4826)
Enumeration Date
2021-08-13
Last Update Date
2021-08-13
Business Address
HEATHER TANNER ANTHON
1501 HILAND AVE
BURLEY, ID 83318-2688
Phone number: 208-677-6530
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Mailing Address
HEATHER TANNER ANTHON
273 S 650 E
BURLEY, ID 83318-5653
Phone number: 208-921-8188
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