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1194996868
JESSICA LUSK
POCATELLO, ID
NPI
1194996868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW-26003)
Enumeration Date
2008-03-20
Last Update Date
2008-03-20
Business Address
JESSICA LUSK LSW
1151 HOSPITAL WAY
POCATELLO, ID 83201-5091
Phone number: 208-233-3353
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Mailing Address
JESSICA LUSK LSW
1151 HOSPITAL WAY
POCATELLO, ID 83201-5091
Phone number: 208-233-3353
Copy
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