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1356686026
KIMBERLY A ENNIS
MERIDIAN, ID
NPI
1356686026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP-1152)
Enumeration Date
2012-12-06
Last Update Date
2012-12-06
Business Address
KIMBERLY A ENNIS MA, CCC-SLP
1351 WEST PINE AVE. MERIDIAN CARE AND REHABILITATION CENTER
MERIDIAN, ID 83642
Phone number: 208-888-7246
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Mailing Address
KIMBERLY A ENNIS MA, CCC-SLP
1351 WEST PINE AVE. MERIDIAN CARE AND REHABILITATION CENTER
MERIDIAN, ID 83642
Phone number: 208-888-7246
Copy
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