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1164778478
GREG JAY WATSON
BOISE, ID
NPI
1164778478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-4876)
Enumeration Date
2012-07-24
Last Update Date
2012-07-24
Business Address
-- GREG JAY WATSON LPC
5999 W STATE ST
BOISE, ID 83703-5059
Phone number: 208-853-5095
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Mailing Address
-- GREG JAY WATSON LPC
5999 W STATE ST
BOISE, ID 83703-5059
Phone number: 208-853-5095
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