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1346428133
GINA RENEE PRATT
BOISE, ID
NPI
1346428133
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Former Name
GINA RENEE DEXTER-PRATT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC-3115)
Enumeration Date
2008-02-05
Last Update Date
2008-02-05
Business Address
-- GINA RENEE PRATT MS
411 ALLUMBAUGH ST
BOISE, ID 83704-9210
Phone number: 208-338-4699
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Mailing Address
-- GINA RENEE PRATT MS
411 N. ALLUMBAUGH ST.
BOISE, ID 83704
Phone number: 208-338-4699
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