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Individual

JONATHAN WARD CATTRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1855 W BROADWAY ST, IDAHO FALLS, ID 83402-3043
(208) 529-3638
Mailing address
455 W 5TH S APT 12, REXBURG, ID 83440-2395
(208) 964-4594

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5461970
ID

Other

Enumeration date
10/16/2024
Last updated
10/16/2024
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