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1689432759
KAYLA SUANN PETTY
IDAHO FALLS, ID
NPI
1689432759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID COUI-10305)
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
KAYLA SUANN PETTY
4688 E MAJESTIC VIEW DR
IDAHO FALLS, ID 83406-8180
Phone number: 580-522-1119
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Mailing Address
KAYLA SUANN PETTY
4688 E MAJESTIC VIEW DR
IDAHO FALLS, ID 83406-8180
Phone number: 580-522-1119
Copy
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