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1902043524
MARLENE MYRA BUBAR
IDAHO FALLS, ID
NPI
1902043524
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Former Name
MARLENE MYRA MARTIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-557)
Enumeration Date
2009-01-20
Last Update Date
2009-01-20
Business Address
Ms. MARLENE MYRA BUBAR Marlene Bubar
722 NORVIN AVE
IDAHO FALLS, ID 83401-3047
Phone number: 208-524-4937
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Mailing Address
Ms. MARLENE MYRA BUBAR Marlene Bubar
722 NORVIN AVE
IDAHO FALLS, ID 83401-3047
Phone number: 208-524-4937
Copy
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