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1073344610
LOGAN RHETT TINGEY
IDAHO FALLS, ID
NPI
1073344610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID 43476)
Enumeration Date
2024-08-13
Last Update Date
2024-08-13
Business Address
LOGAN RHETT TINGEY
254 E ST STE B
IDAHO FALLS, ID 83402-3527
Phone number: 208-483-1813
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Mailing Address
LOGAN RHETT TINGEY
254 E ST STE B
IDAHO FALLS, ID 83402-3527
Phone number: 208-483-1813
Copy
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