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1902297450
KHALIL BISHARAT
AMMON, ID
NPI
1902297450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2015-02-05
Last Update Date
2015-02-05
Business Address
-- KHALIL BISHARAT
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
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Mailing Address
-- KHALIL BISHARAT
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
Copy
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