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1053556258
MELINDA L JORGENSEN
IDAHO FALLS, ID
NPI
1053556258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2008-12-03
Last Update Date
2010-12-15
Business Address
-- MELINDA L JORGENSEN PhD
3417 MERLIN DR STE 102
IDAHO FALLS, ID 83404-7430
Phone number: 208-552-0850
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Mailing Address
-- MELINDA L JORGENSEN PhD
PO BOX 4285
POCATELLO, ID 83205-4285
Phone number: 208-236-1600
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