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1295145985
CHARLES WILLIAM JENKS
POCATELLO, ID
NPI
1295145985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-05-02
Last Update Date
2014-05-02
Business Address
-- CHARLES WILLIAM JENKS
1246 YELLOWSTONE AVE STE C5
POCATELLO, ID 83201-4373
Phone number: 208-233-0150
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Mailing Address
-- CHARLES WILLIAM JENKS
1246 YELLOWSTONE AVE STE C5
POCATELLO, ID 83201-4373
Phone number: 208-233-0150
Copy
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