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1508226408
IDELIA LABRA
POCATELLO, ID
NPI
1508226408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2016-03-04
Last Update Date
2016-03-04
Business Address
-- IDELIA LABRA
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-7952
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Mailing Address
-- IDELIA LABRA
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number:
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