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1588235360
HANNALEE KINGSTROM
MERIDIAN, ID
NPI
1588235360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-4825)
Enumeration Date
2021-07-02
Last Update Date
2021-07-02
Business Address
HANNALEE KINGSTROM MS, CCC-SLP
1857 S MILLENIUM WAY STE 120
MERIDIAN, ID 83642-1510
Phone number: 208-600-0722
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Mailing Address
HANNALEE KINGSTROM MS, CCC-SLP
1857 S MILLENIUM WAY STE 120
MERIDIAN, ID 83642-1510
Phone number: 208-600-0722
Copy
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