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1679049126
JEB MICHAEL SIMPSON
LEWISTON, ID
NPI
1679049126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: ID 49665)
Enumeration Date
2018-10-22
Last Update Date
2018-10-22
Business Address
JEB MICHAEL SIMPSON
1118 F ST
LEWISTON, ID 83501-1930
Phone number: 208-799-4440
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Mailing Address
JEB MICHAEL SIMPSON
1118 F ST
LEWISTON, ID 83501-1930
Phone number:
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