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1568974541
DANIEL GRAHAM RASMUSSEN
POCATELLO, ID
NPI
1568974541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW-36436)
Enumeration Date
2017-10-30
Last Update Date
2017-10-30
Business Address
MR. DANIEL GRAHAM RASMUSSEN LSW
335 N. MAIN
POCATELLO, ID 83204
Phone number: 208-478-8340
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Mailing Address
MR. DANIEL GRAHAM RASMUSSEN LSW
335 N MAIN ST
POCATELLO, ID 83204-3108
Phone number: 208-478-8340
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