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1710178876
SAMUEL PHILLIP LUQUE
BOISE, ID
NPI
1710178876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-3615)
Enumeration Date
2007-08-05
Last Update Date
2023-05-16
Business Address
SAMUEL PHILLIP LUQUE LPC,
1055 N CURTIS RD
BOISE, ID 83706
Phone number: 208-367-2121
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Mailing Address
SAMUEL PHILLIP LUQUE LPC,
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170
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