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1982051694
STEPHEN NELSON
IDAHO FALLS, ID
NPI
1982051694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-6158)
Enumeration Date
2016-05-23
Last Update Date
2016-05-23
Business Address
-- STEPHEN NELSON
1582 N HOLMES AVE
IDAHO FALLS, ID 83401-2032
Phone number: 208-529-8832
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Mailing Address
-- STEPHEN NELSON
1582 N HOLMES AVE
IDAHO FALLS, ID 83401-2032
Phone number: 208-529-8832
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