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1104848654
GARY R PATE
TWIN FALLS, ID
NPI
1104848654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-3625)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
-- GARY R PATE MA
284 MARTIN ST
TWIN FALLS, ID 83301-4562
Phone number: 208-731-7186
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Mailing Address
-- GARY R PATE MA
284 MARTIN ST
TWIN FALLS, ID 83301-4562
Phone number: 208-731-7186
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