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1700953296
JONI GREY LOFTIN
POCATELLO, ID
NPI
1700953296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1216)
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
-- JONI GREY LOFTIN MSP-CCC
IDAHO STATE UNIVERSITY 921 S 8TH AVE STOP 8116
POCATELLO, ID 83209-0001
Phone number: 208-282-2196
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Mailing Address
-- JONI GREY LOFTIN MSP-CCC
9842 W BIGHORN DR
POCATELLO, ID 83204-7222
Phone number: 208-232-5458
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