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1023390424
SHERRY DEITER
POCATELLO, ID
NPI
1023390424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2011-09-13
Last Update Date
2011-09-13
Business Address
SHERRY DEITER
2055 GARRETT WAY STE A
POCATELLO, ID 83201-5100
Phone number: 208-233-7832
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Mailing Address
SHERRY DEITER
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-237-7832
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