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1932497260
JENNY CHRISTINA QUIROZ
IDAHO FALLS, ID
NPI
1932497260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID 4189)
Enumeration Date
2011-07-20
Last Update Date
2011-07-20
Business Address
Miss JENNY CHRISTINA QUIROZ LCPC
2275 W BROADWAY ST SUITE C
IDAHO FALLS, ID 83402-2902
Phone number: 208-523-7400
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Mailing Address
Miss JENNY CHRISTINA QUIROZ LCPC
2275 W BROADWAY ST SUITE C
IDAHO FALLS, ID 83402-2902
Phone number: 208-523-7400
Copy
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