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1720143712
PATRICIA ANN BEAL
BOISE, ID
NPI
1720143712
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Former Name
PATRICIA ANN SLATER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1192)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
-- PATRICIA ANN BEAL CCC-SLP
890 N COLE RD SUITE A
BOISE, ID 83704-8638
Phone number: 208-323-8888
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Mailing Address
-- PATRICIA ANN BEAL CCC-SLP
12861 N TOWN RIDGE RD
BOISE, ID 83714-9437
Phone number: 208-229-0303
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