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1811312135
BRIAN CAVANAGH
BOISE, ID
NPI
1811312135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID 1760)
Enumeration Date
2014-02-24
Last Update Date
2014-02-24
Business Address
Mr. BRIAN CAVANAGH M.S. CCC-SLP
5607 N EDDY PL
BOISE, ID 83714-5607
Phone number: 208-871-1531
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Mailing Address
Mr. BRIAN CAVANAGH M.S. CCC-SLP
5607 N EDDY PL
BOISE, ID 83714-5607
Phone number: 208-871-1531
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