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1215258108
BILL IRVING
COEUR D ALENE, ID
NPI
1215258108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID 1470009)
Enumeration Date
2010-06-15
Last Update Date
2010-06-15
Business Address
-- BILL IRVING
1200 W IRONWOOD DR SUITE 101
COEUR D ALENE, ID 83814-2660
Phone number: 208-667-2979
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Mailing Address
-- BILL IRVING
1200 IRONWOOD DRIVE SUITE 101
COEUR D'ALENE, ID 83814
Phone number:
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