BRENT STANLEY PACKER

BLACKFOOT, ID
NPI1255677076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2012-12-26
Last Update Date2012-12-26
Business Address
Mr. BRENT STANLEY PACKER BS
1190 YORK DR
BLACKFOOT, ID 83221-3621
Phone number: 208-201-0144
Mailing Address
Mr. BRENT STANLEY PACKER BS
1190 YORK DR
BLACKFOOT, ID 83221-3621
Phone number: 208-201-0144
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