TYSON FALLS

AMMON, ID
NPI1598207219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2016-11-11
Last Update Date2016-11-11
Business Address
-- TYSON FALLS
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
Mailing Address
-- TYSON FALLS
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
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