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1962490474
ROBERT TODD BENNETT
BOISE, ID
NPI
1962490474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: ID PSY-411)
Enumeration Date
2005-10-10
Last Update Date
2011-05-03
Business Address
DR. ROBERT TODD BENNETT PH.D.
1755 WESTGATE DR SUITE 260
BOISE, ID 83704-7174
Phone number: 208-373-0790
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Mailing Address
DR. ROBERT TODD BENNETT PH.D.
1755 WESTGATE DR SUITE 260
BOISE, ID 83704-7174
Phone number: 208-373-0790
Copy
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