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1063049682
ANGELA LYNN SEAL
AMMON, ID
NPI
1063049682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID 11766)
Enumeration Date
2020-03-24
Last Update Date
2020-03-24
Business Address
ANGELA LYNN SEAL BS, CADC
246 N CURLEW DR APT 3105
AMMON, ID 83401-1434
Phone number: 208-569-6670
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Mailing Address
ANGELA LYNN SEAL BS, CADC
2225 W BROADWAY ST STE A
IDAHO FALLS, ID 83402-2991
Phone number: 208-528-4220
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