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1841024692
CHARLES CHRISTENSEN
BOISE, ID
NPI
1841024692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID INTERN)
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
CHARLES CHRISTENSEN Counselor Intern
2103 UNIVERSITY DRIVE
BOISE, ID 83725-0001
Phone number: 208-426-1219
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Mailing Address
CHARLES CHRISTENSEN Counselor Intern
2103 UNIVERSITY DRIVE
BOISE, ID 83725-0001
Phone number: 208-426-1219
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