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1912335506
LYNETTE FOGG
EAGLE, ID
NPI
1912335506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-5273)
Enumeration Date
2013-10-17
Last Update Date
2013-10-17
Business Address
-- LYNETTE FOGG
1191 E IRON EAGLE DR SUITE 200
EAGLE, ID 83616-5148
Phone number: 208-286-2837
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Mailing Address
-- LYNETTE FOGG
1191 E IRON EAGLE DR SUITE 200
EAGLE, ID 83616-5148
Phone number: 208-286-2837
Copy
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