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1740699024
JUSTIN ESPLIN
AMMON, ID
NPI
1740699024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-33298)
Enumeration Date
2014-08-12
Last Update Date
2014-08-12
Business Address
-- JUSTIN ESPLIN
3567 JILL ST
AMMON, ID 83401-4606
Phone number: 208-881-7629
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Mailing Address
-- JUSTIN ESPLIN
3567 JILL ST
AMMON, ID 83401-4606
Phone number: 208-881-7629
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