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1174980205
YEZENIA LORA-SALAS
BLACKFOOT, ID
NPI
1174980205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW35292)
Enumeration Date
2016-01-20
Last Update Date
2016-01-20
Business Address
-- YEZENIA LORA-SALAS
RR 3 BOX 288
BLACKFOOT, ID 83221-9792
Phone number: 208-339-5686
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Mailing Address
-- YEZENIA LORA-SALAS
RR 3 BOX 288
BLACKFOOT, ID 83221-9792
Phone number: 208-339-5686
Copy
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