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1639370299
POWDER BASIN ASSOCAITES, INC
COEUR D ALENE, ID
NPI
1639370299
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Entity Type
Organization
Authorized Contact
LYNN MOORE
Owner President
208-209-0535
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-30
Last Update Date
2020-08-22
Business Address
POWDER BASIN ASSOCAITES, INC
7905 N MEADOWLARK WAY SUITE C
COEUR D ALENE, ID 83815-5041
Phone number: 208-762-3979
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Mailing Address
POWDER BASIN ASSOCAITES, INC
7905 N MEADOWLARK WAY SUITE C
COEUR D ALENE, ID 83815-5041
Phone number: 208-762-3979
Copy
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