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1831715309
CHRISTINA HOLLIST
AMMON, ID
NPI
1831715309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-40033)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-06-22
Last Update Date
2023-07-27
Business Address
CHRISTINA HOLLIST
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
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Mailing Address
CHRISTINA HOLLIST
449 N 2500 E
SAINT ANTHONY, ID 83445-5740
Phone number:
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