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1700447901
JORDAN KELL
BOISE, ID
NPI
1700447901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID I50177)
Enumeration Date
2019-06-27
Last Update Date
2019-06-27
Business Address
JORDAN KELL Pharmacy Intern
4700 N EAGLE RD
BOISE, ID 83713-0744
Phone number: 208-939-5149
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Mailing Address
JORDAN KELL Pharmacy Intern
7411 E SAXTON LN
NAMPA, ID 83687-9483
Phone number: 503-789-8202
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