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1659519643
REBEKAH PRUETT
MERIDIAN, ID
NPI
1659519643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID TSLP-1827)
Enumeration Date
2009-01-28
Last Update Date
2009-01-28
Business Address
-- REBEKAH PRUETT SLP
1795 N TESSA AVE
MERIDIAN, ID 83646-6471
Phone number: 208-406-2277
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Mailing Address
-- REBEKAH PRUETT SLP
1795 N TESSA AVE
MERIDIAN, ID 83646-6471
Phone number: 208-406-2277
Copy
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