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1043541543
DREW HAROLD BURRELL
FORT HALL, ID
NPI
1043541543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: ID LSW27969)
Enumeration Date
2010-01-22
Last Update Date
2010-01-22
Business Address
DREW HAROLD BURRELL LSW
717 MISSION RD 306
FORT HALL, ID 83203-0306
Phone number: 208-238-2400
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Mailing Address
DREW HAROLD BURRELL LSW
717 MISSION RD
FORT HALL, ID 83203-0717
Phone number: 208-238-2400
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