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1902551187
BLAKE DURST
BOISE, ID
NPI
1902551187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID 8216)
Enumeration Date
2022-02-16
Last Update Date
2022-02-16
Business Address
BLAKE DURST LPC
9488 W FAIRVIEW AVE
BOISE, ID 83704-8101
Phone number: 208-322-2928
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Mailing Address
BLAKE DURST LPC
9777 W YORKSHIRE DR
BOISE, ID 83704-2281
Phone number: 208-954-3377
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