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1750798526
LAURA DOLEZAL
REXBURG, ID
NPI
1750798526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP-1443)
Enumeration Date
2014-07-14
Last Update Date
2014-07-14
Business Address
LAURA DOLEZAL CCC/SLP
859 S YELLOWSTONE HWY SUITE 1702
REXBURG, ID 83440-5293
Phone number: 208-351-5791
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Mailing Address
LAURA DOLEZAL CCC/SLP
PO BOX 1
CHESTER, ID 83421-0001
Phone number: 208-624-3794
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