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1104481530
ITZEL LABRA
IDAHO FALLS, ID
NPI
1104481530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW38542)
Enumeration Date
2019-05-01
Last Update Date
2019-05-01
Business Address
ITZEL LABRA
1970 E 17TH ST STE 208
IDAHO FALLS, ID 83404-8048
Phone number: 208-932-0668
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Mailing Address
ITZEL LABRA
1970 E 17TH ST STE 208
IDAHO FALLS, ID 83404-8048
Phone number: 208-932-0668
Copy
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