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1336106830
DIANNE LADON PHILLIPS-MILLER
MOSCOW, ID
NPI
1336106830
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Former Name
DIANNE LADON WIMBERLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: ID PSY 288)
Enumeration Date
2006-04-27
Last Update Date
2007-07-08
Business Address
-- DIANNE LADON PHILLIPS-MILLER Ph.D.
814 S WASHINGTON ST
MOSCOW, ID 83843-3049
Phone number: 208-882-0619
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Mailing Address
-- DIANNE LADON PHILLIPS-MILLER Ph.D.
814 S WASHINGTON ST
MOSCOW, ID 83843-3049
Phone number: 208-882-0619
Copy
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