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1528484912
LAURIE BERRETT
POCATELLO, ID
NPI
1528484912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1239)
Enumeration Date
2014-03-10
Last Update Date
2015-12-01
Business Address
-- LAURIE BERRETT
1957 ALVIN RICKEN DR
POCATELLO, ID 83201-2727
Phone number: 208-235-7800
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Mailing Address
-- LAURIE BERRETT
1957 ALVIN RICKEN DR
POCATELLO, ID 83201-2727
Phone number:
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