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1053679985
MICHAEL BRINKER
MERIDIAN, ID
NPI
1053679985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: ID 202751)
Enumeration Date
2012-04-28
Last Update Date
2017-08-15
Business Address
-- MICHAEL BRINKER PsyD
2076 S EAGLE RD
MERIDIAN, ID 83642-6707
Phone number: 289-775-4515
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Mailing Address
-- MICHAEL BRINKER PsyD
711 WEST VILLAGE LANE
BOISE, ID 83702
Phone number: 303-681-8712
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