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1275613556
KIRA C LANE
IDAHO FALLS, ID
NPI
1275613556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC3502)
Enumeration Date
2006-10-17
Last Update Date
2008-02-21
Business Address
Mrs. KIRA C LANE LPC3502
496 A ST
IDAHO FALLS, ID 83402-3617
Phone number: 208-552-7100
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Mailing Address
Mrs. KIRA C LANE LPC3502
217 PINE ST
IDAHO FALLS, ID 83402-4124
Phone number: 208-227-6609
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