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1295093102
PATRA SIMPER
MERIDIAN, ID
NPI
1295093102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-4678)
Enumeration Date
2012-04-27
Last Update Date
2012-04-27
Business Address
-- PATRA SIMPER LPC
403 W CHERRY LN
MERIDIAN, ID 83642-1610
Phone number: 208-887-1911
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Mailing Address
-- PATRA SIMPER LPC
914 N 8TH ST APT 104
BOISE, ID 83702-4215
Phone number: 208-830-6309
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