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1831516590
KELLY JIANAS
IDAHO FALLS, ID
NPI
1831516590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2014-03-19
Last Update Date
2019-09-30
Business Address
KELLY JIANAS LMFT
1600 JOHN ADAMS PKWY STE 102
IDAHO FALLS, ID 83401-4300
Phone number: 208-523-0787
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Mailing Address
KELLY JIANAS LMFT
4722 STANFIELD LN
IDAHO FALLS, ID 83404-7753
Phone number: 714-721-6165
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