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1740919604
CORY EVAN PRICE
IDAHO FALLS, ID
NPI
1740919604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-36995)
Enumeration Date
2022-06-07
Last Update Date
2022-06-07
Business Address
CORY EVAN PRICE
2267 TETON PLZ
IDAHO FALLS, ID 83404-6486
Phone number: 208-522-0140
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Mailing Address
CORY EVAN PRICE
1256 AZALEA DR
IDAHO FALLS, ID 83404-6145
Phone number: 208-317-1741
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