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1063114684
JOURDAN ALEXANDRIA KATZ
IDAHO FALLS, ID
NPI
1063114684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
JOURDAN ALEXANDRIA KATZ Do
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-970-1123
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Mailing Address
JOURDAN ALEXANDRIA KATZ Do
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-970-1123
Copy
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