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1891186532
ASHLEY HANSEN
MOUNTAIN HOME, ID
NPI
1891186532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID PERMIT TSLP-2699)
Enumeration Date
2015-02-17
Last Update Date
2015-02-17
Business Address
ASHLEY HANSEN MS CFY-SLP
245 N 3RD E
MOUNTAIN HOME, ID 83647-2734
Phone number: 208-587-8255
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Mailing Address
ASHLEY HANSEN MS CFY-SLP
245 N 3RD E
MOUNTAIN HOME, ID 83647-2734
Phone number: 208-587-8255
Copy
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