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1063667319
MARYLIN EACKER
JEROME, ID
NPI
1063667319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW 1427)
Enumeration Date
2008-11-28
Last Update Date
2008-11-28
Business Address
-- MARYLIN EACKER LSW
801 N LINCOLN AVE
JEROME, ID 83338-1853
Phone number: 208-731-5750
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Mailing Address
-- MARYLIN EACKER LSW
728 EASTLAND DR N
TWIN FALLS, ID 83301-4310
Phone number: 208-731-5750
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