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1033581269
JASON JOHN OVEROCKER
BOISE, ID
NPI
1033581269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: ID PA-1466)
Enumeration Date
2015-10-27
Last Update Date
2023-03-14
Business Address
JASON JOHN OVEROCKER PA-C
305 E JEFFERSON ST
BOISE, ID 83712-6231
Phone number: 208-381-7370
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Mailing Address
JASON JOHN OVEROCKER PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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