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1720815293
KATIE PARKS
AMMON, ID
NPI
1720815293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2024-09-18
Last Update Date
2024-09-18
Business Address
MRS. KATIE PARKS CPSS
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
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Mailing Address
MRS. KATIE PARKS CPSS
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
Copy
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