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1356887301
JARED AUSTIN PURVIS
MERIDIAN, ID
NPI
1356887301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: ID OTL-1705)
Enumeration Date
2017-01-15
Last Update Date
2021-08-30
Business Address
MR. JARED AUSTIN PURVIS OTL
3368 E GOLDSTONE DR
MERIDIAN, ID 83642-1026
Phone number: 208-899-7992
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Mailing Address
MR. JARED AUSTIN PURVIS OTL
1886 S PELICAN AVE
MERIDIAN, ID 83642-4747
Phone number: 208-870-3258
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