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1053392910
JUSTIN FORD SMILEY
PLUMMER, ID
NPI
1053392910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID Social Work 24211)
Enumeration Date
2005-11-08
Last Update Date
2007-07-08
Business Address
Mr. JUSTIN FORD SMILEY MSW
1115 B STREET
PLUMMER, ID 83851
Phone number: 208-686-1449
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Mailing Address
Mr. JUSTIN FORD SMILEY MSW
PO BOX 388
PLUMMER, ID 83851-0388
Phone number: 208-686-1449
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