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1407012628
MICHELLE C COPPESS
HAYDEN, ID
NPI
1407012628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP 1500)
Enumeration Date
2008-08-07
Last Update Date
2008-08-07
Business Address
MICHELLE C COPPESS
1401 W BIZZTOWN LOOP
HAYDEN, ID 83835-5113
Phone number: 208-762-3502
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Mailing Address
MICHELLE C COPPESS
1401 N BIZTOWN LOOP
HAYDEN, ID 83835-5113
Phone number: 208-762-3502
Copy
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