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1134875974
JACKY ANN KING
PAYETTE, ID
NPI
1134875974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YP2500X Counselor, Professional
Enumeration Date
2022-03-01
Last Update Date
2022-03-01
Business Address
JACKY ANN KING
250 S MAIN ST
PAYETTE, ID 83661-2853
Phone number: 208-405-0020
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Mailing Address
JACKY ANN KING
9 N 3RD ST W
HOMEDALE, ID 83628-3133
Phone number: 208-870-2729
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