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1508170473
LARISSA MANN
NAMPA, ID
NPI
1508170473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: ID AuD 2109)
Enumeration Date
2010-08-03
Last Update Date
2014-11-10
Business Address
-- LARISSA MANN Au.D.
172 2ND ST S
NAMPA, ID 83651-3708
Phone number: 208-489-5950
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Mailing Address
-- LARISSA MANN Au.D.
172 2ND ST S
NAMPA, ID 83651-3708
Phone number: 208-489-5950
Copy
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