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1588911499
KENNETH D DUDLEY
IDAHO FALLS, ID
NPI
1588911499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-5061)
Enumeration Date
2012-08-09
Last Update Date
2012-08-09
Business Address
-- KENNETH D DUDLEY LPC
2420 E 25TH ST
IDAHO FALLS, ID 83404-7549
Phone number: 208-542-1026
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Mailing Address
-- KENNETH D DUDLEY LPC
2420 E 25TH ST
IDAHO FALLS, ID 83404-7549
Phone number: 208-542-1026
Copy
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