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1750077012
JEFFREY HA
POCATELLO, ID
NPI
1750077012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-11
Last Update Date
2023-04-11
Business Address
Mr. JEFFREY HA
921 S. 8TH AVE., STOP 8253
POCATELLO, ID 83209
Phone number: 208-282-4726
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Mailing Address
Mr. JEFFREY HA
921 S. 8TH AVE., STOP 8253
POCATELLO, ID 83209
Phone number: 208-282-4726
Copy
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