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1518117860
LISA PATRICK
POCATELLO, ID
NPI
1518117860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-09-23
Last Update Date
2008-09-23
Business Address
-- LISA PATRICK
2055 GARRETT WAY STE 1
POCATELLO, ID 83201-5100
Phone number: 208-236-1600
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Mailing Address
-- LISA PATRICK
2055 GARRETT WAY STE 1
POCATELLO, ID 83201-5100
Phone number: 208-236-1600
Copy
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