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1669004594
NEY JIMMY DAVID RODRIGUEZ
POCATELLO, ID
NPI
1669004594
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Other Name
JIMMY DAVID RODRIGUEZ
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-02-08
Last Update Date
2020-02-08
Business Address
NEY JIMMY DAVID RODRIGUEZ
3021 SILVERFIELD WAY
POCATELLO, ID 83201-2780
Phone number: 208-240-0411
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Mailing Address
NEY JIMMY DAVID RODRIGUEZ
3021 SILVERFIELD WAY
POCATELLO, ID 83201-2780
Phone number:
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