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1265114516
CHRISTOPHER JAMES JANKOWSKI
AMMON, ID
NPI
1265114516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: ID 56107)
Enumeration Date
2023-08-07
Last Update Date
2023-08-07
Business Address
CHRISTOPHER JAMES JANKOWSKI
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
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Mailing Address
CHRISTOPHER JAMES JANKOWSKI
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
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