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1992539712
LESLIE KAREN BURBACK
BOISE, ID
NPI
1992539712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-1137)
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
LESLIE KAREN BURBACK M.S. CCC-SLP
713 E HARCOURT RD
BOISE, ID 83702-1815
Phone number: 208-484-7017
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Mailing Address
LESLIE KAREN BURBACK M.S. CCC-SLP
713 E HARCOURT RD
BOISE, ID 83702-1815
Phone number: 208-484-7017
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