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1477205839
JENNIFER VANGENDEREN
TWIN FALLS, ID
NPI
1477205839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID TSLP-5214)
Enumeration Date
2022-01-26
Last Update Date
2022-01-26
Business Address
JENNIFER VANGENDEREN SLP
254 RIVER VISTA PL
TWIN FALLS, ID 83301-3006
Phone number: 208-734-7333
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Mailing Address
JENNIFER VANGENDEREN SLP
254 RIVER VISTA PL
TWIN FALLS, ID 83301-3006
Phone number: 208-734-7333
Copy
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