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1366874224
JORDAN LOOZE
BOISE, ID
NPI
1366874224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-5280)
Enumeration Date
2013-08-02
Last Update Date
2013-08-02
Business Address
Mr. JORDAN LOOZE LPC
4948 W KOOTENAI ST SUITE 207
BOISE, ID 83705-2080
Phone number: 208-371-4548
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Mailing Address
Mr. JORDAN LOOZE LPC
4948 W KOOTENAI ST SUITE 207
BOISE, ID 83705-2080
Phone number: 208-371-4548
Copy
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