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Individual

AUTUMN COOMBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
254 RIVER VISTA PL, TWIN FALLS, ID 83301-3006
(208) 734-7333
(208) 734-8350
Mailing address
1297 PARK MEADOWS DR, TWIN FALLS, ID 83301-3221
(208) 734-7333
(208) 734-8350

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2582
ID

Other

Enumeration date
10/01/2014
Last updated
10/01/2014
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