KYLIE MICHELLE BULL

BOISE, ID
NPI1063935815
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  TSLP-3247)
Enumeration Date2017-07-24
Last Update Date2023-05-17
Business Address
KYLIE MICHELLE BULL CCC-SLP
1409 W MAIN ST STE 120
BOISE, ID 83702-5215
Phone number: 208-370-5857
Mailing Address
KYLIE MICHELLE BULL CCC-SLP
935 E WINDING CREEK DR STE 120
EAGLE, ID 83616-7242
Phone number: 208-938-4748
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