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1760228472
PEYTON TAYLOR BOOM
FARGO, ND
NPI
1760228472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ND 2702)
Enumeration Date
2024-07-02
Last Update Date
2024-08-07
Business Address
PEYTON TAYLOR BOOM MS, SLP
4711 45TH ST S
FARGO, ND 58104-5300
Phone number: 701-222-3175
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Mailing Address
PEYTON TAYLOR BOOM MS, SLP
2625 N 19TH ST
BISMARCK, ND 58503-0574
Phone number: 701-222-3175
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