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1598094203
LILLI HOMER
BOISE, ID
NPI
1598094203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1970)
Enumeration Date
2009-12-09
Last Update Date
2020-01-27
Business Address
LILLI HOMER SLP
200 S REGINA RD
BOISE, ID 83716-3470
Phone number: 208-841-5462
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Mailing Address
LILLI HOMER SLP
200 S REGINA RD
BOISE, ID 83716-3470
Phone number: 208-841-5462
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