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1467933929
KATHERINE MCENTEE MOORE
BOISE, ID
NPI
1467933929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP-3554)
Enumeration Date
2018-08-23
Last Update Date
2018-08-23
Business Address
KATHERINE MCENTEE MOORE MED CCC-SLP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
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Mailing Address
KATHERINE MCENTEE MOORE MED CCC-SLP
PO BOX 9495
BOISE, ID 83707-3495
Phone number:
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