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1144638636
KARISSA RUTTEN
MOUNTAIN HOME, ID
NPI
1144638636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID TSLP-2595)
Enumeration Date
2014-07-28
Last Update Date
2018-10-10
Business Address
KARISSA RUTTEN MS CCC-SLP
245 N 3RD E
MOUNTAIN HOME, ID 83647-2734
Phone number: 208-587-8255
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Mailing Address
KARISSA RUTTEN MS CCC-SLP
245 N 3RD E
MOUNTAIN HOME, ID 83647-2734
Phone number: 208-587-8255
Copy
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