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1003470436
DAVID PETERS
BLACKFOOT, ID
NPI
1003470436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: ID LMFT-2978)
Enumeration Date
2019-05-01
Last Update Date
2019-05-01
Business Address
DAVID PETERS
720 EAST ALICE
BLACKFOOT, ID 83221
Phone number: 208-782-9874
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Mailing Address
DAVID PETERS
PO BOX 129
BLACKFOOT, ID 83221-0129
Phone number: 208-782-9874
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