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1851153555
SIERRA LUCETTE CLAYSON
POCATELLO, ID
NPI
1851153555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-6258)
Enumeration Date
2024-01-29
Last Update Date
2024-01-29
Business Address
SIERRA LUCETTE CLAYSON
1448 E CENTER ST STE G
POCATELLO, ID 83201-4132
Phone number: 208-547-7145
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Mailing Address
SIERRA LUCETTE CLAYSON
1448 E CENTER ST STE G
POCATELLO, ID 83201-4132
Phone number: 208-547-7145
Copy
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