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1609655570
JILL KEETCH MCDONALD
IDAHO FALLS, ID
NPI
1609655570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID TSLP-5803)
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
JILL KEETCH MCDONALD
150 SHOUP AVE STE 19
IDAHO FALLS, ID 83402-3653
Phone number: 208-705-5443
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Mailing Address
JILL KEETCH MCDONALD
250 MOHAWK AVE
REXBURG, ID 83440-2225
Phone number: 208-709-9401
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