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1104064625
VANNESS LYNN COONROD
BOISE, ID
NPI
1104064625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1695)
Enumeration Date
2009-01-22
Last Update Date
2009-01-22
Business Address
-- VANNESS LYNN COONROD SLP1695
901 N CURTIS RD STE 204
BOISE, ID 83706-1338
Phone number: 208-367-3315
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Mailing Address
-- VANNESS LYNN COONROD SLP1695
901 N CURTIS RD STE 204
BOISE, ID 83706-1338
Phone number: 208-367-3315
Copy
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