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1891842563
THERESA L. ROSS
POCATELLO, ID
NPI
1891842563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: ID PSY202084)
Enumeration Date
2007-01-04
Last Update Date
2013-09-18
Business Address
-- THERESA L. ROSS PhD
777 HOSPITAL WAY SUITE G11
POCATELLO, ID 83201-5175
Phone number: 208-239-1710
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Mailing Address
-- THERESA L. ROSS PhD
777 HOSPITAL WAY SUITE G11
POCATELLO, ID 83201-5175
Phone number: 208-239-1710
Copy
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