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1275977241
KEVIN BRENT ODETTE
IDAHO FALLS, ID
NPI
1275977241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2013-04-22
Last Update Date
2013-04-22
Business Address
-- KEVIN BRENT ODETTE M.A., PSR
1740 E 17TH ST
IDAHO FALLS, ID 83404-6375
Phone number: 208-346-8866
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Mailing Address
-- KEVIN BRENT ODETTE M.A., PSR
1740 E 17TH ST
IDAHO FALLS, ID 83404-6375
Phone number:
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