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1164765251
HEATHER PENSKE
HAYDEN, ID
NPI
1164765251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1298)
Enumeration Date
2013-03-27
Last Update Date
2013-03-27
Business Address
-- HEATHER PENSKE MS, CCC-SLP
1397 NORTH BIZTOWN LOOP
HAYDEN, ID 83835-5044
Phone number: 208-762-3502
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Mailing Address
-- HEATHER PENSKE MS, CCC-SLP
1397 NORTH BIZTOWN LOOP
HAYDEN, ID 83835-5043
Phone number:
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