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1851332464
KRISTOPHER LEON WALTON
IDAHO FALLS, ID
NPI
1851332464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LCSW-1311)
Enumeration Date
2006-06-08
Last Update Date
2007-07-08
Business Address
-- KRISTOPHER LEON WALTON LCSW
3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7593
Phone number: 208-524-4953
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Mailing Address
-- KRISTOPHER LEON WALTON LCSW
3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7593
Phone number: 208-524-4953
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