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1255664009
ANGELA M CLEGG
TWIN FALLS, ID
NPI
1255664009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID TSLP-1868)
Enumeration Date
2009-09-11
Last Update Date
2009-09-11
Business Address
-- ANGELA M CLEGG SLP
254 RIVER VISTA PL
TWIN FALLS, ID 83301-3006
Phone number: 208-734-7333
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Mailing Address
-- ANGELA M CLEGG SLP
254 RIVER VISTA PL
TWIN FALLS, ID 83301-3006
Phone number: 208-734-7333
Copy
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