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1326592767
JACQUELINE LEE BROWN
DRIGGS, ID
NPI
1326592767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID TSLP-2991)
Enumeration Date
2016-08-14
Last Update Date
2016-08-14
Business Address
JACQUELINE LEE BROWN
30 N 1ST E
DRIGGS, ID 83422-5219
Phone number: 208-716-2351
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Mailing Address
JACQUELINE LEE BROWN
PO BOX 611
DRIGGS, ID 83422-0611
Phone number:
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