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1073399259
PAGE LYN ERNTSON
FRUITLAND, ID
NPI
1073399259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-44080)
Enumeration Date
2023-09-05
Last Update Date
2023-09-05
Business Address
PAGE LYN ERNTSON LMSW
1100 NW 12TH ST
FRUITLAND, ID 83619-5040
Phone number: 208-452-6556
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Mailing Address
PAGE LYN ERNTSON LMSW
1100 NW 12TH ST
FRUITLAND, ID 83619-5040
Phone number: 208-452-6556
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