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1366174989
REBECCA HANSEN
POCATELLO, ID
NPI
1366174989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP3796)
Enumeration Date
2022-06-30
Last Update Date
2024-09-26
Business Address
REBECCA HANSEN CCC-SLP
1001 N 7TH AVE STE 280
POCATELLO, ID 83201-5788
Phone number: 208-239-1490
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Mailing Address
REBECCA HANSEN CCC-SLP
1001 N 7TH AVE STE 280
POCATELLO, ID 83201-5788
Phone number: 208-239-1490
Copy
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