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1366972051
JORDAN DEE VANDER DOES
AMMON, ID
NPI
1366972051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2017-06-14
Last Update Date
2017-06-14
Business Address
JORDAN DEE VANDER DOES
2705 E 17TH ST
AMMON, ID 83406
Phone number: 208-346-7500
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Mailing Address
JORDAN DEE VANDER DOES
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number:
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