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1932441961
MYRA EMILY MOSES
IDAHO FALLS, ID
NPI
1932441961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-27988)
Enumeration Date
2013-03-15
Last Update Date
2013-03-15
Business Address
Mrs. MYRA EMILY MOSES LMSW
1600 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4300
Phone number: 208-529-5276
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Mailing Address
Mrs. MYRA EMILY MOSES LMSW
690 CRESTVIEW AVE
IDAHO FALLS, ID 83402-3136
Phone number: 208-757-0721
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