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1336687805
LISA WILMORE
AMMON, ID
NPI
1336687805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2017-02-05
Last Update Date
2017-04-26
Business Address
-- LISA WILMORE
3522 BRIAR CREEK LN
AMMON, ID 83406-4728
Phone number: 208-529-1660
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Mailing Address
-- LISA WILMORE
1900 PARKWOOD ST APT #C305
IDAHO FALLS, ID 83401-6132
Phone number: 616-540-8348
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