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1073802625
GINNY MARISSA SMITH
MERIDIAN, ID
NPI
1073802625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1638)
Enumeration Date
2011-04-05
Last Update Date
2011-04-05
Business Address
Mrs. GINNY MARISSA SMITH MS, CCC-SLP
1833 MILLENIUM WAY
MERIDIAN, ID 83642-1510
Phone number: 208-898-1368
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Mailing Address
Mrs. GINNY MARISSA SMITH MS, CCC-SLP
1833 MILLENIUM WAY
MERIDIAN, ID 83642-1510
Phone number: 208-898-1368
Copy
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