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1467675975
KORY DAVID WILSON
REXBURG, ID
NPI
1467675975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-3463)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Mr. KORY DAVID WILSON LPC-3463
218 DIVIDEND DR STE 3
REXBURG, ID 83440-3510
Phone number: 208-359-9683
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Mailing Address
Mr. KORY DAVID WILSON LPC-3463
490 PIONEER RD APT 8301
REXBURG, ID 83440-5285
Phone number: 208-521-8173
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