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1154554152
ANGELA WINCHESTER
IDAHO FALLS, ID
NPI
1154554152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-4116)
Enumeration Date
2009-08-25
Last Update Date
2024-07-02
Business Address
ANGELA WINCHESTER
2420 E 25TH ST # A
IDAHO FALLS, ID 83404-7549
Phone number: 208-543-1026
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Mailing Address
ANGELA WINCHESTER
1004 REDWOOD ST
IDAHO FALLS, ID 83401-2946
Phone number: 208-709-2684
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