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1114128030
DAVID THOMAS HARGRAVES
REXBURG, ID
NPI
1114128030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: ID PSY222)
Enumeration Date
2007-05-29
Last Update Date
2007-07-08
Business Address
Dr. DAVID THOMAS HARGRAVES Ph.D.
523 E 4TH S
REXBURG, ID 83440-2512
Phone number: 208-359-0836
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Mailing Address
Dr. DAVID THOMAS HARGRAVES Ph.D.
523 E 4TH S
REXBURG, ID 83440-2512
Phone number: 208-359-0836
Copy
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