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1629317078
JONATHAN W LOOSLE
EAGLE, ID
NPI
1629317078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2013-02-05
Last Update Date
2013-02-05
Business Address
JONATHAN W LOOSLE
1472 E IRON EAGLE DR
EAGLE, ID 83616-6598
Phone number: 208-577-1188
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Mailing Address
JONATHAN W LOOSLE
1472 E IRON EAGLE DR
EAGLE, ID 83616-6598
Phone number: 208-577-1188
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