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1790320935
DANIEL SCOTT CORNELL
LEWISTON, ID
NPI
1790320935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID 7514)
Enumeration Date
2019-11-12
Last Update Date
2019-11-12
Business Address
DANIEL SCOTT CORNELL
312 MILLER ST
LEWISTON, ID 83501-1944
Phone number: 208-750-1802
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Mailing Address
DANIEL SCOTT CORNELL
312 MILLER ST
LEWISTON, ID 83501-1944
Phone number: 208-750-1802
Copy
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