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1922343326
STACIE A WATKINS
POCATELLO, ID
NPI
1922343326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-12-11
Last Update Date
2012-12-11
Business Address
-- STACIE A WATKINS
353 N 4TH AVE STE 110
POCATELLO, ID 83201-6390
Phone number: 208-233-7832
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Mailing Address
-- STACIE A WATKINS
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-236-1600
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