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1710391529
KELLY GREGSON
IDAHO FALLS, ID
NPI
1710391529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW2033)
Enumeration Date
2014-06-19
Last Update Date
2014-06-19
Business Address
-- KELLY GREGSON LSW
540 3RD ST
IDAHO FALLS, ID 83401-3953
Phone number: 208-524-5607
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Mailing Address
-- KELLY GREGSON LSW
2955 MESQUITE DR
IDAHO FALLS, ID 83404-7269
Phone number: 208-542-6074
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