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1295058311
MACKENZIE L SWENSON
REXBURG, ID
NPI
1295058311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP-1949)
Enumeration Date
2010-03-03
Last Update Date
2010-03-03
Business Address
MRS. MACKENZIE L SWENSON CCC-SLP
266 JILL DR
REXBURG, ID 83440-5325
Phone number: 208-419-3539
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Mailing Address
MRS. MACKENZIE L SWENSON CCC-SLP
266 JILL DR
REXBURG, ID 83440-5325
Phone number: 208-419-3539
Copy
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