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Individual
DR. JASON WYLIE PARKER
Active
Individual
DR. JASON WYLIE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, NMD
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIA-972
ID
175F00000X
Naturopath
Primary
6761369
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6761369
IDAHO BOARD OF NATUROPATHIC HEALTH CARE
ID
Enumeration date
07/17/2006
Last updated
07/15/2024
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