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1912304163
MICHELLE ANDERSON
IDAHO FALLS, ID
NPI
1912304163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP-1362)
Enumeration Date
2014-12-02
Last Update Date
2014-12-02
Business Address
MICHELLE ANDERSON
125 ARDEN DR
IDAHO FALLS, ID 83404-7902
Phone number: 208-716-0172
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Mailing Address
MICHELLE ANDERSON
125 ARDEN DR
IDAHO FALLS, ID 83404-7902
Phone number: 208-716-0172
Copy
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