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1154708139
SUZANNE MADER
BOISE, ID
NPI
1154708139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1468)
Enumeration Date
2015-04-29
Last Update Date
2015-04-29
Business Address
-- SUZANNE MADER SLP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
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Mailing Address
-- SUZANNE MADER SLP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
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