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1497127989
ELLEN WANDLAND
BOISE, ID
NPI
1497127989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID 2834)
Enumeration Date
2015-10-23
Last Update Date
2015-10-23
Business Address
MISS ELLEN WANDLAND
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2078
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Mailing Address
MISS ELLEN WANDLAND
6715 W MORRIS HILL LN APT 104
BOISE, ID 83704-9286
Phone number:
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