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1497782577
MARY M. WHITAKER
POCATELLO, ID
NPI
1497782577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: ID AUD1193)
Enumeration Date
2006-06-26
Last Update Date
2007-07-09
Business Address
Dr. MARY M. WHITAKER Au.D.
650 MEMORIAL DRIVE BLDG 68
POCATELLO, ID 83209-0001
Phone number: 208-282-2190
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Mailing Address
Dr. MARY M. WHITAKER Au.D.
1649 GLACIER ST
POCATELLO, ID 83201-2261
Phone number: 208-282-2190
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