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1528804150
JORDAN OHMIE
POCATELLO, ID
NPI
1528804150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-8559)
Enumeration Date
2024-07-03
Last Update Date
2024-07-03
Business Address
JORDAN OHMIE DPT
1041 E HAYDEN ST
POCATELLO, ID 83201-5275
Phone number: 208-317-0741
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Mailing Address
JORDAN OHMIE DPT
1041 E HAYDEN ST
POCATELLO, ID 83201-5275
Phone number:
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