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1376896019
ERNESTINE MILLER
POCATELLO, ID
NPI
1376896019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1789)
Enumeration Date
2012-10-18
Last Update Date
2012-10-18
Business Address
-- ERNESTINE MILLER MS CCC-SLP
1033 W QUINN RD
POCATELLO, ID 83202-2425
Phone number: 208-233-4800
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Mailing Address
-- ERNESTINE MILLER MS CCC-SLP
1033 W QUINN ROAD
POCATELLO, ID 83202-2425
Phone number: 208-233-4800
Copy
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