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1891845913
DOUGLAS R GALLUP
POCATELLO, ID
NPI
1891845913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC 3309)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
-- DOUGLAS R GALLUP LCPC
1169 CALL CREEK,STE B
POCATELLO, ID 83201
Phone number: 208-232-7780
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Mailing Address
-- DOUGLAS R GALLUP LCPC
1169 CALL CREEK
POCATELLO, ID 83201
Phone number: 208-232-7780
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