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1447481643
LUCAS OWEN BOSSARD
TWIN FALLS, ID
NPI
1447481643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: ID PSY-202292)
Enumeration Date
2009-08-05
Last Update Date
2009-08-05
Business Address
DR. LUCAS OWEN BOSSARD PSY.D.
794 EASTLAND DR
TWIN FALLS, ID 83301-6856
Phone number: 208-734-1281
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Mailing Address
DR. LUCAS OWEN BOSSARD PSY.D.
794 EASTLAND DR
TWIN FALLS, ID 83301-6856
Phone number: 208-734-1281
Copy
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