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1588898001
ROGER D. HOLYOAK
POCATELLO, ID
NPI
1588898001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-2716)
Enumeration Date
2009-05-12
Last Update Date
2009-05-12
Business Address
-- ROGER D. HOLYOAK LCPC
2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201-5100
Phone number: 208-233-7832
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Mailing Address
-- ROGER D. HOLYOAK LCPC
2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201-5100
Phone number: 208-233-7832
Copy
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