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1518701275
JIMMY LAO
AMMON, ID
NPI
1518701275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: ID 9818)
Enumeration Date
2024-06-19
Last Update Date
2024-06-19
Business Address
JIMMY LAO
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
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Mailing Address
JIMMY LAO
3098 E CHASEWOOD DR
AMMON, ID 83406-4852
Phone number:
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