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1881980357
DANIEL EDWARD TIMBERLAKE
BOISE, ID
NPI
1881980357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: ID PSY-202436)
Enumeration Date
2011-06-23
Last Update Date
2011-06-23
Business Address
-- DANIEL EDWARD TIMBERLAKE PhD
1910 UNIVERSITY DR MS 1351
BOISE, ID 83725-1351
Phone number: 208-426-1459
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Mailing Address
-- DANIEL EDWARD TIMBERLAKE PhD
5840 S HORSESHOE PL
BOISE, ID 83716
Phone number: 208-608-6484
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