JONATHAN PAYNE

IDAHO FALLS, ID
NPI1649648908
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-2052)
Enumeration Date2015-09-03
Last Update Date2015-09-03
Business Address
-- JONATHAN PAYNE M.S., CCC-SLP
2327 CORONADO ST
IDAHO FALLS, ID 83404-7407
Phone number: 208-542-7250
Mailing Address
-- JONATHAN PAYNE M.S., CCC-SLP
5794 LA QUINTA DR.
IDAHO FALLS, ID 83401
Phone number: 208-681-0682
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