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1700198108
JODI LYNN SHELTON
POCATELLO, ID
NPI
1700198108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-29318)
Enumeration Date
2010-07-14
Last Update Date
2010-07-14
Business Address
-- JODI LYNN SHELTON
444 HOSPITAL WAY
POCATELLO, ID 83201-2745
Phone number: 208-232-6214
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Mailing Address
-- JODI LYNN SHELTON
1206 E WALNUT ST
POCATELLO, ID 83201-3849
Phone number: 208-232-2592
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