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1427679984
VALINDA L MIKESELL
IDAHO FALLS, ID
NPI
1427679984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-7661)
Enumeration Date
2020-05-06
Last Update Date
2020-05-08
Business Address
VALINDA L MIKESELL LPC
1301 E 17TH ST
IDAHO FALLS, ID 83404-6273
Phone number: 208-538-3122
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Mailing Address
VALINDA L MIKESELL LPC
391 FALLS DR
IDAHO FALLS, ID 83401-3207
Phone number:
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