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1952785172
SHAYNA WALDRON
POCATELLO, ID
NPI
1952785172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID 2771)
Enumeration Date
2015-07-17
Last Update Date
2015-07-17
Business Address
-- SHAYNA WALDRON SLP
560 MEMORIAL DR STE C
POCATELLO, ID 83201-4070
Phone number: 208-904-1112
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Mailing Address
-- SHAYNA WALDRON SLP
560 MEMORIAL DR STE C
POCATELLO, ID 83201-4070
Phone number: 208-904-1112
Copy
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