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1699434639
JACKIE ST MARIE
LEWISTON, ID
NPI
1699434639
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Former Name
JACKIE DECIANNE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2021-12-16
Last Update Date
2021-12-16
Business Address
JACKIE ST MARIE SLP
1014 BURRELL AVE
LEWISTON, ID 83501-5472
Phone number: 208-743-4558
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Mailing Address
JACKIE ST MARIE SLP
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 971-364-0611
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