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1720659444
DYLAN ROGERS
BOISE, ID
NPI
1720659444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID 8245)
Enumeration Date
2021-07-03
Last Update Date
2022-02-03
Business Address
DYLAN ROGERS LPC
4615 W EMERALD ST
BOISE, ID 83706-2002
Phone number: 208-344-2228
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Mailing Address
DYLAN ROGERS LPC
2118 S KERR ST
BOISE, ID 83705-3414
Phone number: 651-334-9896
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