DUANE DALE

MOSCOW, ID
NPI1427566751
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1276)
Enumeration Date2018-01-22
Last Update Date2018-01-22
Business Address
DUANE DALE
700 S MAIN ST
MOSCOW, ID 83843-3056
Phone number: 208-883-1522
Mailing Address
DUANE DALE
345 MEADOWLARK LN
MOSCOW, ID 83843-7501
Phone number: 208-301-2433
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