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1033382726
DAVEY BURRELL
POCATELLO, ID
NPI
1033382726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LSW26555)
Enumeration Date
2008-04-02
Last Update Date
2008-04-02
Business Address
DAVEY BURRELL
2055 GARRETT WAY STE. 1
POCATELLO, ID 83201-5100
Phone number: 208-236-1600
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Mailing Address
DAVEY BURRELL
2055 GARRETT WAY STE. 1
POCATELLO, ID 83201-5100
Phone number: 208-236-1600
Copy
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