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1659117265
ANTONIA GUTIERREZ BENITEZ
REXBURG, ID
NPI
1659117265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC-10649)
Enumeration Date
2024-07-02
Last Update Date
2024-07-02
Business Address
ANTONIA GUTIERREZ BENITEZ LPC
101 E MAIN ST STE 211
REXBURG, ID 83440-2017
Phone number: 208-357-3104
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Mailing Address
ANTONIA GUTIERREZ BENITEZ LPC
101 E MAIN ST STE 211
REXBURG, ID 83440-2017
Phone number: 208-357-3104
Copy
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