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1578870127
ROSE MESA
POCATELLO, ID
NPI
1578870127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: ID LMFT 4384)
Enumeration Date
2010-09-02
Last Update Date
2010-09-02
Business Address
ROSE MESA LMFT
1745 POCATELLO CREEK RD
POCATELLO, ID 83201-2308
Phone number: 208-233-9383
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Mailing Address
ROSE MESA LMFT
1745 POCATELLO CREEK RD
POCATELLO, ID 83201-2308
Phone number: 208-233-9383
Copy
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