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1942948112
COLE IVANCIC
MERIDIAN, ID
NPI
1942948112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2022-05-26
Last Update Date
2022-05-26
Business Address
COLE IVANCIC LMSW
2950 E MAGIC VIEW DR STE 192
MERIDIAN, ID 83642-6246
Phone number: 208-600-2184
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Mailing Address
COLE IVANCIC LMSW
3451 N ARROWWOOD WAY
MERIDIAN, ID 83646-6079
Phone number: 208-860-2598
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