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1194596957
MARTY DIXON
NAMPA, ID
NPI
1194596957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ID LPC-10128)
Enumeration Date
2024-01-11
Last Update Date
2024-01-11
Business Address
MARTY DIXON
2731 KLAMATH LN
NAMPA, ID 83686-7940
Phone number: 208-353-3695
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Mailing Address
MARTY DIXON
2731 KLAMATH LN
NAMPA, ID 83686-7940
Phone number:
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