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1063184554
JONAS DETHMAN
EAGLE, ID
NPI
1063184554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2021-10-02
Last Update Date
2021-10-02
Business Address
JONAS DETHMAN
239 WINGED FOOT PL
EAGLE, ID 83616-5265
Phone number: 208-473-0493
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Mailing Address
JONAS DETHMAN
239 WINGED FOOT PL
EAGLE, ID 83616-5265
Phone number: 208-473-0493
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