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1770062499
ANGELA M ASP
WEISER, ID
NPI
1770062499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP-3198)
Enumeration Date
2018-08-13
Last Update Date
2018-08-13
Business Address
ANGELA M ASP MS, CCC-SLP
331 E PARK ST
WEISER, ID 83672-2053
Phone number: 208-549-0206
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Mailing Address
ANGELA M ASP MS, CCC-SLP
331 E PARK ST
WEISER, ID 83672-2053
Phone number: 208-549-0206
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