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1144644105
JOHNNA L PARKER
BOISE, ID
NPI
1144644105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1299)
Enumeration Date
2014-02-12
Last Update Date
2014-02-12
Business Address
Mrs. JOHNNA L PARKER M.A.,CCC-SLP
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-489-4444
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Mailing Address
Mrs. JOHNNA L PARKER M.A.,CCC-SLP
1795 E LAKE CREEK DR
MERIDIAN, ID 83642-9209
Phone number: 208-855-9788
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