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Individual

DR. ALLAN JOHN JOUBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
116 W NEIDER AVE, COEUR D ALENE, ID 83815-9300
(208) 664-0800
(208) 664-0820
Mailing address
1172 W HAYDEN AVE, HAYDEN, ID 83835-8700
(208) 664-0800
(208) 664-0820

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH00033789
WA
111N00000X
Chiropractor
Primary
CHIA-1222
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
134142
DEPT LABOR AND INDUSTRIES
WA
Enumeration date
04/10/2006
Last updated
12/10/2019
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