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1902186059
JESSICA LYNNE DIXON
IDAHO FALLS, ID
NPI
1902186059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-4767)
Enumeration Date
2011-08-22
Last Update Date
2011-08-22
Business Address
-- JESSICA LYNNE DIXON LPC
2375 E SUNNYSIDE RD STE C
IDAHO FALLS, ID 83404-8281
Phone number: 208-529-5777
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Mailing Address
-- JESSICA LYNNE DIXON LPC
2375 E SUNNYSIDE RD STE C
IDAHO FALLS, ID 83404-8281
Phone number: 208-529-5777
Copy
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