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1194116574
JIM N HIBBARD
ONTARIO, OR
NPI
1194116574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-34035)
Enumeration Date
2015-02-06
Last Update Date
2015-02-06
Business Address
Mr. JIM N HIBBARD LMSW
1219 SW 4TH AVE UNIT 1
ONTARIO, OR 97914-4500
Phone number: 208-919-6407
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Mailing Address
Mr. JIM N HIBBARD LMSW
1219 SW 4TH AVE UNIT 1
ONTARIO, OR 97914-4500
Phone number: 208-919-6407
Copy
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