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1255847786
JORDAN M WISNER
BOISE, ID
NPI
1255847786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2017-12-20
Last Update Date
2023-08-30
Business Address
JORDAN M WISNER PHD
444 W FORT ST FL 2
BOISE, ID 83702-4535
Phone number: 208-422-1018
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Mailing Address
JORDAN M WISNER PHD
444 W FORT ST FL 2
BOISE, ID 83702-4535
Phone number: 208-422-1018
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