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1649336488
DAVID CHARLES HOMER
IDAHO FALLS, ID
NPI
1649336488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW-26798)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
Mr. DAVID CHARLES HOMER LSW
586 1ST ST
IDAHO FALLS, ID 83401-3963
Phone number: 208-529-2920
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Mailing Address
Mr. DAVID CHARLES HOMER LSW
3274 1ST ST APT 4
IDAHO FALLS, ID 83401-4504
Phone number: 208-524-4615
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