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1609648807
JENNIFER LESLIE GALLUP
POCATELLO, ID
NPI
1609648807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: ID 203485)
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
Dr. JENNIFER LESLIE GALLUP Ph.D.
396 YELLOWSTONE AVE
POCATELLO, ID 83201-4572
Phone number: 208-254-7733
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Mailing Address
Dr. JENNIFER LESLIE GALLUP Ph.D.
396 YELLOWSTONE AVE
POCATELLO, ID 83201-4572
Phone number: 208-406-2492
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