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Individual

JULIANNE BHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10112 W OVERLAND RD, BOISE, ID 83709-1428
(208) 495-5401
Mailing address
120 N 12TH ST APT 815, BOISE, ID 83702-6304

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7971171
ID

Other

Enumeration date
11/05/2025
Last updated
11/05/2025
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