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1548637044
CASEY RAGAN
IDAHO FALLS, ID
NPI
1548637044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID TSLP - 2713)
Enumeration Date
2015-09-01
Last Update Date
2015-09-01
Business Address
-- CASEY RAGAN M.S., CF-SLP
2377 CORONADO ST
IDAHO FALLS, ID 83404-7440
Phone number: 208-535-1286
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Mailing Address
-- CASEY RAGAN M.S., CF-SLP
160 SAINT CLAIR RD
IDAHO FALLS, ID 83401-4379
Phone number: 208-569-0853
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