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1407264435
ITXASO RICHARDS
NAMPA, ID
NPI
1407264435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-2737)
Enumeration Date
2014-07-22
Last Update Date
2016-08-18
Business Address
-- ITXASO RICHARDS MS CCC-SLP
320 11TH AVE S SUITE 204
NAMPA, ID 83651-5073
Phone number: 208-466-1077
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Mailing Address
-- ITXASO RICHARDS MS CCC-SLP
320 11TH AVE S SUITE 204
NAMPA, ID 83651-5073
Phone number: 208-466-1077
Copy
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