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1720366693
AMANDA JO MINOR
POCATELLO, ID
NPI
1720366693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-4530)
Enumeration Date
2011-07-26
Last Update Date
2011-07-26
Business Address
-- AMANDA JO MINOR LPC
409 WASHINGTON AVE
POCATELLO, ID 83201-4520
Phone number: 208-234-2646
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Mailing Address
-- AMANDA JO MINOR LPC
409 WASHINGTON AVE
POCATELLO, ID 83201-4520
Phone number: 208-234-2646
Copy
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