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1053785725
JUSTIN ROSS
NAMPA, ID
NPI
1053785725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-5495)
Enumeration Date
2015-11-18
Last Update Date
2015-11-18
Business Address
-- JUSTIN ROSS LPC
4144 E AMITY AVE
NAMPA, ID 83687-8802
Phone number: 208-465-4985
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Mailing Address
-- JUSTIN ROSS LPC
2181 W ASTONTE ST
MERIDIAN, ID 83646-7693
Phone number: 208-447-6290
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