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1306296488
MARIE SHERANIAN
IDAHO FALLS, ID
NPI
1306296488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
-- MARIE SHERANIAN
150 SHOUP AVE
IDAHO FALLS, ID 83402-3657
Phone number: 208-528-4071
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Mailing Address
-- MARIE SHERANIAN
150 SHOUP AVE
IDAHO FALLS, ID 83402-3657
Phone number: 208-528-4071
Copy
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