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1386981900
JASON VAN SICKLE
IDAHO FALLS, ID
NPI
1386981900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIA-1529)
Enumeration Date
2013-01-16
Last Update Date
2022-10-13
Business Address
Dr. JASON VAN SICKLE D.C.
3652 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7573
Phone number: 208-541-0413
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Mailing Address
Dr. JASON VAN SICKLE D.C.
1410 E 17TH ST
IDAHO FALLS, ID 83404-6269
Phone number: 208-524-6402
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