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1891353199
JONATHAN MARCEL MOSES
RIGBY, ID
NPI
1891353199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-42172)
Enumeration Date
2019-05-31
Last Update Date
2022-05-10
Business Address
JONATHAN MARCEL MOSES
295 N 3855 E
RIGBY, ID 83442-5124
Phone number: 208-745-5205
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Mailing Address
JONATHAN MARCEL MOSES
2275 W BROADWAY ST
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
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