MICHELLE C COPPESS

HAYDEN, ID
NPI1407012628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP 1500)
Enumeration Date2008-08-07
Last Update Date2008-08-07
Business Address
-- MICHELLE C COPPESS
1401 W BIZZTOWN LOOP
HAYDEN, ID 83835-5113
Phone number: 208-762-3502
Mailing Address
-- MICHELLE C COPPESS
1401 N BIZTOWN LOOP
HAYDEN, ID 83835-5113
Phone number: 208-762-3502
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