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1295015162
BLAINE E MCINELLY
IDAHO FALLS, ID
NPI
1295015162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2011-08-24
Last Update Date
2011-08-24
Business Address
Mr. BLAINE E MCINELLY M.Ed.
1740 E 17TH ST
IDAHO FALLS, ID 83404-6375
Phone number: 208-520-3304
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Mailing Address
Mr. BLAINE E MCINELLY M.Ed.
1740 E 17TH ST
IDAHO FALLS, ID 83404-6375
Phone number:
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