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1467282855
JASON DALE HOWARD
BLACKFOOT, ID
NPI
1467282855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 8861166)
Enumeration Date
2024-08-01
Last Update Date
2024-08-01
Business Address
JASON DALE HOWARD FNP-C
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 376-378-2208
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Mailing Address
JASON DALE HOWARD FNP-C
3968 E 170 N
RIGBY, ID 83442-5771
Phone number: 407-340-9001
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