NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1891953519 |   |   |   | SPEECH AND LANGUAGE CLINIC, INC | 1275 SOUTH HIGHLINE DRIVE | IDAHO FALLS | ID | 83401 |
1255353488 | DAHLBERG | MICHELLE |   |   | 1225 S HIGHLINE DR | IDAHO FALLS | ID | 834015909 |