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1063077634
JAMES ELLIS WILLIAMS
POCATELLO, ID
NPI
1063077634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-3499)
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
Mr. JAMES ELLIS WILLIAMS M.S., CCC-SLP
527 MEMORIAL DR
POCATELLO, ID 83201-4063
Phone number: 801-419-8096
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Mailing Address
Mr. JAMES ELLIS WILLIAMS M.S., CCC-SLP
1690 CALICO CIR
POCATELLO, ID 83201-7122
Phone number: 801-419-8096
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