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1578684445
SHELLY L BOTCH
TWIN FALLS, ID
NPI
1578684445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP1446)
Enumeration Date
2007-04-02
Last Update Date
2011-11-21
Business Address
-- SHELLY L BOTCH SLP
2520 E 3707 N
TWIN FALLS, ID 83301-0112
Phone number: 208-420-7740
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Mailing Address
-- SHELLY L BOTCH SLP
2520 E 3707 N
TWIN FALLS, ID 83301-3006
Phone number: 208-420-7740
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