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1790217388
KELLY MANWARING
LEWISTON, ID
NPI
1790217388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP-1882)
Enumeration Date
2017-04-01
Last Update Date
2017-04-01
Business Address
KELLY MANWARING
3315 8TH ST
LEWISTON, ID 83501-4966
Phone number: 208-743-9543
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Mailing Address
KELLY MANWARING
3315 8TH ST
LEWISTON, ID 83501-4966
Phone number:
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