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1184011421
COLETTE ELAINE D'AMBROSIO
BOISE, ID
NPI
1184011421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP-1445)
Enumeration Date
2015-04-24
Last Update Date
2015-04-24
Business Address
COLETTE ELAINE D'AMBROSIO
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
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Mailing Address
COLETTE ELAINE D'AMBROSIO
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
Copy
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