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1750528956
GARRETT LEE COBURN
KUNA, ID
NPI
1750528956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC 3851)
Enumeration Date
2009-01-11
Last Update Date
2009-11-20
Business Address
Mr. GARRETT LEE COBURN LCPC
13500 S. PLEASANT VALLEY RD
KUNA, ID 83634
Phone number: 208-336-0740
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Mailing Address
Mr. GARRETT LEE COBURN LCPC
PO BOX 14
KUNA, ID 83634-0014
Phone number:
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