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Individual

BREK PILLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1918 OVERLAND AVE, BURLEY, ID 83318-2439
(208) 219-0211
(208) 733-9463
Mailing address
PO BOX 1657, TWIN FALLS, ID 83303-1657
(208) 734-3356
(208) 733-9463

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY202122
ID

Other

Enumeration date
06/04/2007
Last updated
07/08/2007
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