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1376847269
MARK WAYNE WISEMAN
NAMPA, ID
NPI
1376847269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID 3034)
Enumeration Date
2011-01-06
Last Update Date
2011-01-06
Business Address
-- MARK WAYNE WISEMAN LPC
2422 12TH AVE RD NUMBER 144
NAMPA, ID 83686-6300
Phone number: 208-919-9706
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Mailing Address
-- MARK WAYNE WISEMAN LPC
2422 12TH AVE RD NUMBER 144
NAMPA, ID 83686-6300
Phone number: 208-919-9706
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