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1659997138
BRIANNE R BANKS
REXBURG, ID
NPI
1659997138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2020-06-22
Last Update Date
2020-06-22
Business Address
BRIANNE R BANKS SLP
859 S YELLOWSTONE HWY
REXBURG, ID 83440-5293
Phone number: 208-356-7643
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Mailing Address
BRIANNE R BANKS SLP
4765 GLENEAGLES DR
IDAHO FALLS, ID 83401-6301
Phone number: 208-709-2905
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