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1063524692
BRADLEY KENT LAMBSON
BLACKFOOT, ID
NPI
1063524692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: ID LMFT-4424)
Enumeration Date
2006-08-31
Last Update Date
2010-10-05
Business Address
Mr. BRADLEY KENT LAMBSON LMFT
140 S BROADWAY ST
BLACKFOOT, ID 83221-2711
Phone number: 208-569-4316
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Mailing Address
Mr. BRADLEY KENT LAMBSON LMFT
2184 CHANNING WAY PMB 260
IDAHO FALLS, ID 83404-8034
Phone number: 208-569-4316
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