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1043515554
KEVIN WOODALL
BOISE, ID
NPI
1043515554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-2070)
Enumeration Date
2011-01-13
Last Update Date
2011-01-13
Business Address
-- KEVIN WOODALL SLP
6855 W FAIRVIEW AVE
BOISE, ID 83704-8046
Phone number: 208-323-8888
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Mailing Address
-- KEVIN WOODALL SLP
6855 W FAIRVIEW AVE
BOISE, ID 83704-8046
Phone number: 208-323-8888
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