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1184354953
KIRA FAZZARI
MERIDIAN, ID
NPI
1184354953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-4654)
Enumeration Date
2022-06-14
Last Update Date
2022-06-14
Business Address
KIRA FAZZARI
2273 E GALA ST
MERIDIAN, ID 83642-7289
Phone number: 208-323-8888
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Mailing Address
KIRA FAZZARI
101 S ALLUMBAUGH WAY
BOISE, ID 83709-5658
Phone number:
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