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1720433600
JENNIE REBECCA FULLMER
TWIN FALLS, ID
NPI
1720433600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ID LPC-6127)
Enumeration Date
2016-04-28
Last Update Date
2016-04-28
Business Address
JENNIE REBECCA FULLMER LPC
1363 FILLMORE ST
TWIN FALLS, ID 83301-3392
Phone number: 208-736-7090
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Mailing Address
JENNIE REBECCA FULLMER LPC
1363 FILLMORE ST
TWIN FALLS, ID 83301-3392
Phone number: 208-736-7090
Copy
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