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1417596628
JEREMY JOHN JENKINS
POCATELLO, ID
NPI
1417596628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-6561)
Enumeration Date
2020-01-06
Last Update Date
2020-01-06
Business Address
Mr. JEREMY JOHN JENKINS DPT
1800 FLANDRO DR STE 190
POCATELLO, ID 83202-4940
Phone number: 208-233-2248
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Mailing Address
Mr. JEREMY JOHN JENKINS DPT
1800 FLANDRO DR STE 190
POCATELLO, ID 83202-4940
Phone number: 208-233-2248
Copy
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