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1740351030
TIFFANY L. DEAN
BOISE, ID
NPI
1740351030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID 12022035)
Enumeration Date
2006-11-10
Last Update Date
2007-07-08
Business Address
-- TIFFANY L. DEAN ST(SPEECH THERAPIST
901 N CURTIS RD STE 204
BOISE, ID 83706-1340
Phone number: 208-367-3315
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Mailing Address
-- TIFFANY L. DEAN ST(SPEECH THERAPIST
901 N CURTIS RD STE 204
BOISE, ID 83706-1340
Phone number: 208-367-3315
Copy
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