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Individual

MISS MICHAEL JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1322 WASHINGTON STREET NORTH, NORTH TWIN FALLS, ID 83301-9036
(208) 733-0740
Mailing address
1322 WASHINGTON STREET, NORTH TWIN FALLS, ID 83301

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
4578962
ID

Other

Enumeration date
10/12/2012
Last updated
01/14/2014
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