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1316253198
CARMEN ROSE IVES
MERIDIAN, ID
NPI
1316253198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID TSLP-2022)
Enumeration Date
2010-08-31
Last Update Date
2010-08-31
Business Address
-- CARMEN ROSE IVES
1833 MILLENIUM WAY STE 100
MERIDIAN, ID 83642-1510
Phone number: 208-898-1368
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Mailing Address
-- CARMEN ROSE IVES
1833 MILLENIUM WAY STE 100
MERIDIAN, ID 83642-1510
Phone number: 208-898-1368
Copy
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