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1568817500
KATELYN GROGAN
BOISE, ID
NPI
1568817500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2016-04-27
Last Update Date
2016-04-27
Business Address
-- KATELYN GROGAN
1001 S HILTON ST
BOISE, ID 83705-1925
Phone number: 208-345-4464
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Mailing Address
-- KATELYN GROGAN
25117 SW PARKWAY AVE SUITE B
WILSONVILLE, OR 97070-9697
Phone number: 503-570-3665
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