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1245845593
CALEB IDLETT
LONGVIEW, WA
NPI
1245845593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG1106027)
Enumeration Date
2020-09-14
Last Update Date
2020-10-29
Business Address
CALEB IDLETT
748 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-200-5419
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Mailing Address
CALEB IDLETT
PO BOX 2394
LONGVIEW, WA 98632
Phone number: 360-200-5419
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