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1568976934
PETER NIEMAN
IDAHO FALLS, ID
NPI
1568976934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP-2917)
Enumeration Date
2017-11-21
Last Update Date
2017-11-21
Business Address
PETER NIEMAN M.S. CCC-SLP
2860 CHANNING WAY STE 100
IDAHO FALLS, ID 83404-7531
Phone number: 208-529-7923
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Mailing Address
PETER NIEMAN M.S. CCC-SLP
2775 SAINT CLAIR RD APT N205
IDAHO FALLS, ID 83404-7403
Phone number:
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