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1598892143
PETER VIK
POCATELLO, ID
NPI
1598892143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: ID PSY-321)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Dr. PETER VIK Ph.D.
ISU PSYCHOLOGY CLINIC IDAHO STATE UNIVERSITY STOP 8021
POCATELLO, ID 83209-0001
Phone number: 208-282-2129
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Mailing Address
Dr. PETER VIK Ph.D.
ISU PSYCHOLOGY CLINIC IDAHO STATE UNIVERSITY STOP 8021
POCATELLO, ID 83209-8021
Phone number: 208-282-2129
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