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1730409707
GERALD LEE REESER
SANDPOINT, ID
NPI
1730409707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00004142)
Enumeration Date
2010-06-01
Last Update Date
2010-06-01
Business Address
-- GERALD LEE REESER CDP
608 S DIVISION AVE
SANDPOINT, ID 83864-1749
Phone number: 208-265-5049
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Mailing Address
-- GERALD LEE REESER CDP
608 S DIVISION AVE
SANDPOINT, ID 83864-1749
Phone number: 208-265-5049
Copy
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