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1588967020
JX2 LLC
BOISE, ID
NPI
1588967020
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Entity Type
Organization
Authorized Contact
JEREMY EVANS
Billing Supervisor
208-323-9130
Organization Subpart ?
No
Primary Taxonomy
103TP2701X Psychologist, Group Psychotherapy
Enumeration Date
2010-12-06
Last Update Date
2010-12-06
Business Address
JX2 LLC
1253 N COLE RD SUITE 100
BOISE, ID 83704-8647
Phone number: 208-319-0700
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Mailing Address
JX2 LLC
PO BOX 16820
BOISE, ID 83715-6820
Phone number: 208-323-9130
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