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1477880680
LESLIE SOARES
BOISE, ID
NPI
1477880680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1816)
Enumeration Date
2009-11-09
Last Update Date
2009-11-09
Business Address
-- LESLIE SOARES SLP
6855 W FAIRVIEW AVE
BOISE, ID 83704-8046
Phone number: 208-323-8888
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Mailing Address
-- LESLIE SOARES SLP
6855 W FAIRVIEW AVE
BOISE, ID 83704-8046
Phone number: 208-323-8888
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