BO ROBERT SMITH

BLACKFOOT, ID
NPI1104623784
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: ID  3071150)
Enumeration Date2025-02-28
Last Update Date2025-02-28
Business Address
MR. BO ROBERT SMITH
1309 CAMAS ST
BLACKFOOT, ID 83221-3060
Phone number: 208-782-0675
Mailing Address
MR. BO ROBERT SMITH
297 PENDLEBURY LN APT 1
BLACKFOOT, ID 83221-2815
Phone number:
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