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1053005827
JONATHAN ALAN MUIR
IDAHO FALLS, ID
NPI
1053005827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-9544)
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
Mr. JONATHAN ALAN MUIR LPC
550 W SUNNYSIDE RD
IDAHO FALLS, ID 83402-4619
Phone number: 208-529-5777
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Mailing Address
Mr. JONATHAN ALAN MUIR LPC
4379 BOONER ST
IDAHO FALLS, ID 83401-6517
Phone number: 208-206-4245
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