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1730649641
JORDAN POLLOCK
BOISE, ID
NPI
1730649641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-1855)
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
JORDAN POLLOCK
7960 W RIFLEMAN ST STE 130
BOISE, ID 83704-9014
Phone number: 208-377-1310
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Mailing Address
JORDAN POLLOCK
7960 W RIFLEMAN ST STE 130
BOISE, ID 83704-9014
Phone number: 208-377-1310
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