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1104932383
CHARLES BENTON MCCONNELL
BOISE, ID
NPI
1104932383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPCP 127)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
Mr. CHARLES BENTON MCCONNELL MA
413 N ALLUMBAUGH SUITE 103
BOISE, ID 83704
Phone number: 208-658-0800
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Mailing Address
Mr. CHARLES BENTON MCCONNELL MA
413 N ALLUMBAUGH SUITE 103
BOISE, ID 83704
Phone number: 208-658-0800
Copy
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