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1336426741
GREG LOVELAND
IDAHO FALLS, ID
NPI
1336426741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW-31597)
Enumeration Date
2011-11-14
Last Update Date
2011-11-14
Business Address
Mr. GREG LOVELAND LSW
283 WEST 19TH STREET
IDAHO FALLS, ID 83402
Phone number: 208-524-6347
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Mailing Address
Mr. GREG LOVELAND LSW
283 WEST 19TH STREET
IDAHO FALLS, ID 83402
Phone number: 208-524-6347
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