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1154838936
CHRISTINE LEIGH WALLIN
BOISE, ID
NPI
1154838936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID TSLP-3338)
Enumeration Date
2018-01-03
Last Update Date
2018-01-03
Business Address
CHRISTINE LEIGH WALLIN
3169 S BOWN WAY
BOISE, ID 83706-5400
Phone number: 208-433-9152
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Mailing Address
CHRISTINE LEIGH WALLIN
2310 W PLEASANTON AVE
BOISE, ID 83702-3835
Phone number: 928-600-4948
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