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1124245576
THOMAS R VANFOSSEN
COEUR D ALENE, ID
NPI
1124245576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: ID LMFT3019)
Enumeration Date
2007-04-19
Last Update Date
2010-12-01
Business Address
-- THOMAS R VANFOSSEN LMFT
5431 N GOVERNMENT WAY SUITE B
COEUR D ALENE, ID 83815-5073
Phone number: 208-667-7603
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Mailing Address
-- THOMAS R VANFOSSEN LMFT
5431 N GOVERNMENT WAY SUITE B
COEUR D ALENE, ID 83815-5073
Phone number: 208-667-7603
Copy
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