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1578217915
BRUCE SPENCER THUESON
REXBURG, ID
NPI
1578217915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-8627)
Enumeration Date
2022-02-04
Last Update Date
2022-02-04
Business Address
BRUCE SPENCER THUESON LPC
242 E 7TH N
REXBURG, ID 83440-3550
Phone number: 208-359-9683
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Mailing Address
BRUCE SPENCER THUESON LPC
242 E 7TH N
REXBURG, ID 83440-3550
Phone number: 208-359-9683
Copy
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