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1417134107
BRENDA MARTIN
BOISE, ID
NPI
1417134107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1451)
Enumeration Date
2008-01-25
Last Update Date
2008-01-25
Business Address
Mrs. BRENDA MARTIN
10387 W. SHADOW ROCK DRIVE
BOISE, ID 83714
Phone number: 208-939-2208
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Mailing Address
Mrs. BRENDA MARTIN
10387 W. SHADOW ROCK DRIVE
BOISE, ID 83714
Phone number:
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