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1912513110
NATHANIEL DEAN GENTHER
IDAHO FALLS, ID
NPI
1912513110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID 40034)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
Mr. NATHANIEL DEAN GENTHER LMSW
615 HOOPES AVE
IDAHO FALLS, ID 83401-6106
Phone number: 208-542-0352
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Mailing Address
Mr. NATHANIEL DEAN GENTHER LMSW
615 HOOPES AVE
IDAHO FALLS, ID 83401-6106
Phone number: 208-542-0352
Copy
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