JEREMY SHUPPERD

BOISE, ID
NPI1306698071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies222Z00000X Orthotist
Enumeration Date2024-04-04
Last Update Date2024-04-04
Business Address
MR. JEREMY SHUPPERD CPO
427 N CURTIS RD
BOISE, ID 83706-1439
Phone number: 208-342-4104
Mailing Address
MR. JEREMY SHUPPERD CPO
427 N CURTIS RD
BOISE, ID 83706-1439
Phone number: 208-342-4104
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