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1952793358
DEANNA LYNN NIKODYM
EAGLE, ID
NPI
1952793358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-2683)
Enumeration Date
2015-02-23
Last Update Date
2015-02-23
Business Address
Ms. DEANNA LYNN NIKODYM M.A.
935 E WINDING CREEK DR
EAGLE, ID 83616-7240
Phone number: 208-938-4748
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Mailing Address
Ms. DEANNA LYNN NIKODYM M.A.
935 E WINDING CREEK DR
EAGLE, ID 83616-7240
Phone number: 208-938-4748
Copy
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