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1033698303
KIMBERLY DEGRAW
BOISE, ID
NPI
1033698303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID TSLP-4912)
Enumeration Date
2018-08-08
Last Update Date
2021-09-14
Business Address
KIMBERLY DEGRAW
901 N CURTIS RD STE 204
BOISE, ID 83706-1340
Phone number: 208-367-8282
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Mailing Address
KIMBERLY DEGRAW
1409 E COUGAR CREEK DR
MERIDIAN, ID 83646-7809
Phone number:
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