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Individual

JONATHAN ZACHARY ASDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
675 S BROWNING AVE, BOISE, ID 83709-7748
(208) 513-0181

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary

Other

Enumeration date
10/02/2018
Last updated
10/02/2018
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