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1295515898
BOBBY LEON PASCOE
LEWISTON, ID
NPI
1295515898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID LPC-9755)
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
Mr. BOBBY LEON PASCOE
1706 G ST
LEWISTON, ID 83501-2021
Phone number: 208-751-0478
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Mailing Address
Mr. BOBBY LEON PASCOE
155 2ND AVE N
TWIN FALLS, ID 83301-6162
Phone number: 208-751-0478
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