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1003655481
JORDAN KOPSHO
MOSCOW, ID
NPI
1003655481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-23
Last Update Date
2024-05-23
Business Address
JORDAN KOPSHO
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 208-885-6111
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Mailing Address
JORDAN KOPSHO
1675 CRAB APPLE CIR
WEST RICHLAND, WA 99353-5099
Phone number:
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