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1124563739
OCTAVIAN BISTRICEANU
MERIDIAN, ID
NPI
1124563739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2017-01-05
Last Update Date
2017-01-05
Business Address
Mr. OCTAVIAN BISTRICEANU LMSW
1550 N CRESTMONT DR
MERIDIAN, ID 83642-2184
Phone number: 208-288-4200
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Mailing Address
Mr. OCTAVIAN BISTRICEANU LMSW
361 W WHITETAIL CT
KUNA, ID 83634-3199
Phone number: 208-409-2258
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