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1689121956
KEN BOHR
TWIN FALLS, ID
NPI
1689121956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-09-05
Last Update Date
2016-09-05
Business Address
-- KEN BOHR
219 GOODING ST N
TWIN FALLS, ID 83301-6178
Phone number: 208-734-5230
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Mailing Address
-- KEN BOHR
219 GOODING ST N
TWIN FALLS, ID 83301-6178
Phone number: 208-734-5230
Copy
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