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1326743196
JESSICA SHOTWELL
POCATELLO, ID
NPI
1326743196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-5787)
Enumeration Date
2023-04-03
Last Update Date
2025-01-04
Business Address
JESSICA SHOTWELL SLP
427 N 4TH AVE
POCATELLO, ID 83201-6341
Phone number: 208-271-6389
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Mailing Address
JESSICA SHOTWELL SLP
209 S 14TH AVE
POCATELLO, ID 83201-4139
Phone number: 208-271-6389
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