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1558761916
KARINE MAYNARD
BOISE, ID
NPI
1558761916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-2926)
Enumeration Date
2014-09-03
Last Update Date
2016-06-03
Business Address
-- KARINE MAYNARD
3701 E LAKE FOREST DR
BOISE, ID 83716-6999
Phone number: 208-854-6320
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Mailing Address
-- KARINE MAYNARD
3701 E LAKE FOREST DR
BOISE, ID 83716-6999
Phone number: 208-854-6320
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