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1194109223
MCKENZIE JEMMETT
POCATELLO, ID
NPI
1194109223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID 2779)
Enumeration Date
2015-07-18
Last Update Date
2015-07-18
Business Address
-- MCKENZIE JEMMETT SLP
560 MEMORIAL DR STE C
POCATELLO, ID 83201-4070
Phone number: 208-904-1112
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Mailing Address
-- MCKENZIE JEMMETT SLP
560 MEMORIAL DR STE C
POCATELLO, ID 83204-0325
Phone number: 208-904-1112
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