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1174075030
MATINA BOLSTER
COEUR D ALENE, ID
NPI
1174075030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LPC-6045)
Enumeration Date
2016-10-26
Last Update Date
2016-10-26
Business Address
MRS. MATINA BOLSTER LPC
1200 W IRONWOOD DR
COEUR D ALENE, ID 83814-2660
Phone number: 208-664-9729
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Mailing Address
MRS. MATINA BOLSTER LPC
1200 W IRONWOOD DR
COEUR D ALENE, ID 83814-2660
Phone number: 208-664-9729
Copy
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