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1619728987
TED ROBY BOST
EMMETT, ID
NPI
1619728987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC-6834)
Enumeration Date
2024-03-27
Last Update Date
2024-03-27
Business Address
TED ROBY BOST LPC
5001 CHERRY GULCH LN
EMMETT, ID 83617-5123
Phone number: 208-365-3437
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Mailing Address
TED ROBY BOST LPC
5001 CHERRY GULCH LN
EMMETT, ID 83617-5123
Phone number: 208-365-3437
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