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1235553017
KRISTINE SCANLON
BOISE, ID
NPI
1235553017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP-2413)
Enumeration Date
2014-02-13
Last Update Date
2014-02-13
Business Address
KRISTINE SCANLON
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-489-4635
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Mailing Address
KRISTINE SCANLON
600 N ROBBINS RD
BOISE, ID 83702
Phone number: 208-489-4635
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