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1952020257
JAN DAVID ANDRUS
NEWMAN LAKE, WA
NPI
1952020257
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Professional Name
DAVE ANDRUS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP1600X Counselor, Pastoral
Enumeration Date
2022-08-22
Last Update Date
2022-08-24
Business Address
JAN DAVID ANDRUS
6701 N IDAHO RD
NEWMAN LAKE, WA 99025-9557
Phone number: 208-329-7676
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Mailing Address
JAN DAVID ANDRUS
1121 E MULLAN AVE APT 2
COEUR D ALENE, ID 83814-4054
Phone number: 208-329-7676
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