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1215638101
JESSE FERRELL
MOUNTAIN HOME AFB, ID
NPI
1215638101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2023-03-16
Last Update Date
2023-03-16
Business Address
JESSE FERRELL IDMT
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648-1057
Phone number: 208-828-6300
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Mailing Address
JESSE FERRELL IDMT
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648-1057
Phone number: 208-828-6300
Copy
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