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1063139772
CRAIG M LARSEN
CALDWELL, ID
NPI
1063139772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: ID 11926)
Enumeration Date
2022-10-24
Last Update Date
2022-10-24
Business Address
CRAIG M LARSEN CPRC, CPRC-S
304 W LOGAN ST
CALDWELL, ID 83605-4735
Phone number: 208-402-6782
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Mailing Address
CRAIG M LARSEN CPRC, CPRC-S
304 W LOGAN ST
CALDWELL, ID 83605-4735
Phone number: 208-402-6782
Copy
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