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1073865812
CHALYSE A HALL
POCATELLO, ID
NPI
1073865812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID TSLP2363)
Enumeration Date
2012-10-03
Last Update Date
2013-03-13
Business Address
Mrs. CHALYSE A HALL M.S.
1110 CALL CREEK DR
POCATELLO, ID 83201-3001
Phone number: 208-233-4660
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Mailing Address
Mrs. CHALYSE A HALL M.S.
5014 ELIZABETH AVE
CHUBBUCK, ID 83202-1606
Phone number: 208-240-4321
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