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1134663008
KARA MARIE NIXON
BOISE, ID
NPI
1134663008
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Former Name
KARA MARIE ERICKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID TSLP-3127)
Enumeration Date
2016-12-13
Last Update Date
2016-12-13
Business Address
-- KARA MARIE NIXON
6289 S HOLLYHOCK WAY
BOISE, ID 83716-7077
Phone number: 208-755-8037
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Mailing Address
-- KARA MARIE NIXON
6289 S HOLLYHOCK WAY
BOISE, ID 83716-7077
Phone number: 208-755-8037
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