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1720387681
TRAVIS SCOTT HULL
IDAHO FALLS, ID
NPI
1720387681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-30115)
Enumeration Date
2011-03-17
Last Update Date
2011-03-17
Business Address
-- TRAVIS SCOTT HULL LMSW
3422 S 15TH E
IDAHO FALLS, ID 83404-8262
Phone number: 208-552-1222
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Mailing Address
-- TRAVIS SCOTT HULL LMSW
3422 S 15TH E
IDAHO FALLS, ID 83404-8262
Phone number: 208-552-1222
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