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1316977044
DEBRA A NILSSON
IDAHO FALLS, ID
NPI
1316977044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP-1231)
Enumeration Date
2006-07-05
Last Update Date
2014-07-10
Business Address
MRS. DEBRA A NILSSON M.S., CCC-SLP
2377 CORONADO ST
IDAHO FALLS, ID 83404-7440
Phone number: 208-535-1286
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Mailing Address
MRS. DEBRA A NILSSON M.S., CCC-SLP
3862 SHADOW MOUNTAIN TRL
IDAHO FALLS, ID 83404-8283
Phone number:
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