TERRELL BURGESS

IDAHO FALLS, ID
NPI1588903744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2013-02-07
Last Update Date2013-02-07
Business Address
-- TERRELL BURGESS BA
1740 E 17TH ST
IDAHO FALLS, ID 83404-6375
Phone number: 208-346-8866
Mailing Address
-- TERRELL BURGESS BA
1740 E 17TH ST
IDAHO FALLS, ID 83404-6375
Phone number:
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