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1417695453
FABIOLA KOPERBERG
REXBURG, ID
NPI
1417695453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP-4727)
Enumeration Date
2022-05-20
Last Update Date
2022-05-20
Business Address
FABIOLA KOPERBERG MS
36 PROFESSIONAL PLZ STE 110
REXBURG, ID 83440-2049
Phone number: 208-734-3356
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Mailing Address
FABIOLA KOPERBERG MS
36 PROFESSIONAL PLZ STE 110
REXBURG, ID 83440-2049
Phone number: 208-359-9570
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