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1952074114
COLTON SHAYN BLAIR
TWIN FALLS, ID
NPI
1952074114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP4811)
Enumeration Date
2021-07-25
Last Update Date
2021-07-25
Business Address
Mr. COLTON SHAYN BLAIR MS, CCC-SLP
823 HARRISON ST
TWIN FALLS, ID 83301-3925
Phone number: 800-926-2588
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Mailing Address
Mr. COLTON SHAYN BLAIR MS, CCC-SLP
823 HARRISON ST
TWIN FALLS, ID 83301-3925
Phone number:
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