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1083476097
MICHAEL ARLEN BLAYLOCK
TWIN FALLS, ID
NPI
1083476097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID 10204)
Enumeration Date
2024-01-25
Last Update Date
2024-01-25
Business Address
MICHAEL ARLEN BLAYLOCK LPC
155 2ND AVE N STE 201
TWIN FALLS, ID 83301-6163
Phone number: 208-751-0478
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Mailing Address
MICHAEL ARLEN BLAYLOCK LPC
155 2ND AVE N STE 201
TWIN FALLS, ID 83301-6163
Phone number: 208-751-0478
Copy
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