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1366827842
KJERSTI LANG
NAMPA, ID
NPI
1366827842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-10216)
Enumeration Date
2015-07-24
Last Update Date
2024-08-08
Business Address
KJERSTI LANG
112 12TH AVE RD
NAMPA, ID 83686-5011
Phone number: 760-846-0782
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Mailing Address
KJERSTI LANG
112 12TH AVE RD
NAMPA, ID 83686-5011
Phone number: 208-465-5433
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