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1922838952
IAN VASSILAROS
REXBURG, ID
NPI
1922838952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 65527)
Enumeration Date
2024-08-05
Last Update Date
2024-08-05
Business Address
IAN VASSILAROS LPC
218 E MAIN ST
REXBURG, ID 83440-2022
Phone number: 877-553-6238
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Mailing Address
IAN VASSILAROS LPC
218 E MAIN ST
REXBURG, ID 83440-2022
Phone number:
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