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1669742524
LARRY LISONBEE
POCATELLO, ID
NPI
1669742524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-01-10
Last Update Date
2012-01-10
Business Address
-- LARRY LISONBEE
2055 GARRETT WAY STE 2
POCATELLO, ID 83201-5100
Phone number: 208-233-7832
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Mailing Address
-- LARRY LISONBEE
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-236-1600
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