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1114398765
BRADLEY DEAN SMELCER
EMMETT, ID
NPI
1114398765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2015-10-08
Last Update Date
2015-10-08
Business Address
Mr. BRADLEY DEAN SMELCER Owner
2328 MOUNTAIN VIEW DR
EMMETT, ID 83617-9533
Phone number: 208-365-3183
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Mailing Address
Mr. BRADLEY DEAN SMELCER Owner
2328 MOUNTAIN VIEW DR
EMMETT, ID 83617-9533
Phone number: 208-365-3183
Copy
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