LAURA DOLEZAL

REXBURG, ID
NPI1750798526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1443)
Enumeration Date2014-07-14
Last Update Date2014-07-14
Business Address
-- LAURA DOLEZAL CCC/SLP
859 S YELLOWSTONE HWY SUITE 1702
REXBURG, ID 83440-5293
Phone number: 208-351-5791
Mailing Address
-- LAURA DOLEZAL CCC/SLP
PO BOX 1
CHESTER, ID 83421-0001
Phone number: 208-624-3794
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