JORGE PADRON

IDAHO FALLS, ID
NPI1023444957
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ID  155)
Enumeration Date2013-09-24
Last Update Date2013-09-24
Business Address
MR. JORGE PADRON CADC
543 3RD ST
IDAHO FALLS, ID 83401-3909
Phone number: 208-522-6925
Mailing Address
MR. JORGE PADRON CADC
550 AMY LN
AMMON, ID 83406-4542
Phone number: 208-589-4139
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