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1417308495
RODNEY KANIKKEBERG
MOSCOW, ID
NPI
1417308495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC-6234)
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
RODNEY KANIKKEBERG
317 W 6TH ST STE 208
MOSCOW, ID 83843-2321
Phone number: 208-882-3504
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Mailing Address
RODNEY KANIKKEBERG
317 W 6TH ST STE 208
MOSCOW, ID 83843-2321
Phone number: 208-882-3504
Copy
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