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1124442421
CARLETTA JEAN ALLEN
COTTONWOOD, ID
NPI
1124442421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP-1091)
Enumeration Date
2014-02-07
Last Update Date
2014-02-07
Business Address
CARLETTA JEAN ALLEN
701 LEWISTON STREET
COTTONWOOD, ID 83522
Phone number: 208-962-3251
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Mailing Address
CARLETTA JEAN ALLEN
PO BOX 137
COTTONWOOD, ID 83522-0137
Phone number: 208-962-3251
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