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1972710564
JOHN P CONDRON
POCATELLO, ID
NPI
1972710564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-3868)
Enumeration Date
2007-05-16
Last Update Date
2012-04-05
Business Address
Mr. JOHN P CONDRON M.S., L.C.P.C.
1023 YELLOWSTONE AVE STE J
POCATELLO, ID 83201-4478
Phone number: 208-233-1276
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Mailing Address
Mr. JOHN P CONDRON M.S., L.C.P.C.
1023 YELLOWSTONE AVE STE J
POCATELLO, ID 83201-4478
Phone number: 208-233-1276
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