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1588969646
BRUCE W BLANCHARD
REXBURG, ID
NPI
1588969646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-874)
Enumeration Date
2011-01-21
Last Update Date
2011-01-21
Business Address
Mr. BRUCE W BLANCHARD MSW
27 K ST
REXBURG, ID 83440-1441
Phone number: 208-356-4845
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Mailing Address
Mr. BRUCE W BLANCHARD MSW
27 K ST
REXBURG, ID 83440-1441
Phone number: 208-356-4845
Copy
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