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1285820779
CHRISTINA OTTO
BOISE, ID
NPI
1285820779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP1460)
Enumeration Date
2007-09-19
Last Update Date
2007-09-19
Business Address
CHRISTINA OTTO MACCC, SLP
890 N COLE RD SUITE A
BOISE, ID 83704-8638
Phone number: 208-323-8888
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Mailing Address
CHRISTINA OTTO MACCC, SLP
7334 GILLIS RD
BOISE, ID 83714-5016
Phone number: 208-853-1772
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