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1982924411
JOHN EDWARD LANDERS
IDAHO FALLS, ID
NPI
1982924411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: ID PSY-202268)
Enumeration Date
2010-06-07
Last Update Date
2010-06-07
Business Address
Dr. JOHN EDWARD LANDERS Ph.D.
2280 E 25TH ST
IDAHO FALLS, ID 83404-7542
Phone number: 208-227-2100
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Mailing Address
Dr. JOHN EDWARD LANDERS Ph.D.
2280 E 25TH ST
IDAHO FALLS, ID 83404-7542
Phone number: 208-227-2100
Copy
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