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1174170708
CYNTHIA LOUISE LANGE, LLC
POCATELLO, ID
NPI
1174170708
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Entity Type
Organization
Authorized Contact
DEBORAH A GOSS
Credentialing Specialist
208-221-1161
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2019-08-19
Last Update Date
2019-08-19
Business Address
CYNTHIA LOUISE LANGE, LLC
330 S 4TH AVE
POCATELLO, ID 83201-6403
Phone number: 406-848-4827
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Mailing Address
CYNTHIA LOUISE LANGE, LLC
330 S 4TH AVE
POCATELLO, ID 83201-6403
Phone number: 406-848-4827
Copy
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