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1700163359
MARIETTE MILBRANDT
POCATELLO, ID
NPI
1700163359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1688)
Enumeration Date
2011-11-10
Last Update Date
2011-11-10
Business Address
-- MARIETTE MILBRANDT CCC-SLP
650 MEMORIAL DRIVE BUILDING #68
POCATELLO, ID 83201
Phone number: 208-282-3495
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Mailing Address
-- MARIETTE MILBRANDT CCC-SLP
921 S 8TH AVE
POCATELLO, ID 83209-8116
Phone number: 208-282-3495
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