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1184240194
JARROD VAUGHN CRUMP
MERIDIAN, ID
NPI
1184240194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID 63057)
Enumeration Date
2020-06-25
Last Update Date
2021-11-02
Business Address
JARROD VAUGHN CRUMP NP
1672 S WOODSAGE AVE
MERIDIAN, ID 83642-8329
Phone number: 208-515-2273
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Mailing Address
JARROD VAUGHN CRUMP NP
4035 E CHESAPEAKE DR
NAMPA, ID 83686-8073
Phone number: 208-818-8546
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