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1922435080
KELLY O'LEARY
BOISE, ID
NPI
1922435080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP2340)
Enumeration Date
2013-10-03
Last Update Date
2013-10-03
Business Address
-- KELLY O'LEARY
405 W MYRTLE ST
BOISE, ID 83702-7658
Phone number: 208-489-5880
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Mailing Address
-- KELLY O'LEARY
405 W MYRTLE ST
BOISE, ID 83702-7658
Phone number:
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