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1861877417
CHARLES DIEMART
BOISE, ID
NPI
1861877417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC - 5908)
Enumeration Date
2015-07-24
Last Update Date
2016-02-05
Business Address
-- CHARLES DIEMART LPC
2577 S FIVE MILE RD
BOISE, ID 83709-2325
Phone number: 208-918-1635
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Mailing Address
-- CHARLES DIEMART LPC
508 W GARFIELD ST
BOISE, ID 83706-4348
Phone number: 208-918-1635
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