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1336512607
JULIA PANSEWICZ
DRIGGS, ID
NPI
1336512607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID TSLP-2786)
Enumeration Date
2015-11-08
Last Update Date
2015-11-08
Business Address
-- JULIA PANSEWICZ
165 FRONT ST
DRIGGS, ID 83422-5445
Phone number: 208-716-2351
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Mailing Address
-- JULIA PANSEWICZ
PO BOX 881
WILSON, WY 83014-0881
Phone number: 802-233-3050
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