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1174721732
JOSEPH VAL LARSEN
POCATELLO, ID
NPI
1174721732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2007-07-05
Last Update Date
2007-07-08
Business Address
MR. JOSEPH VAL LARSEN
2257 DIANE LANE
POCATELLO, ID 83201-1911
Phone number: 208-237-4529
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Mailing Address
MR. JOSEPH VAL LARSEN
2257 DIANE LANE
POCATELLO, ID 83201-1911
Phone number: 208-237-4529
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