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1285199869
JASON KNIGHTON
POCATELLO, ID
NPI
1285199869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 60732)
Enumeration Date
2019-02-07
Last Update Date
2024-03-09
Business Address
JASON KNIGHTON NP-C
2928 MICHELLE ST
POCATELLO, ID 83201-8031
Phone number: 208-244-0997
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Mailing Address
JASON KNIGHTON NP-C
3189 N BANNOCK HWY
POCATELLO, ID 83204-3806
Phone number: 208-220-3516
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