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1285458224
MICHELE HADDOW
LEWISTON, ID
NPI
1285458224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2024-11-14
Last Update Date
2024-11-14
Business Address
MICHELE HADDOW
1022 RIPON AVE APT D
LEWISTON, ID 83501-6219
Phone number: 509-254-7627
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Mailing Address
MICHELE HADDOW
1022 RIPON AVE APT D
LEWISTON, ID 83501-6219
Phone number: 509-254-7627
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