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1750969721
JENNIFER JIMENEZ
PAYETTE, ID
NPI
1750969721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-03-31
Last Update Date
2024-12-10
Business Address
JENNIFER JIMENEZ
250 S MAIN ST
PAYETTE, ID 83661-2853
Phone number: 208-405-0020
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Mailing Address
JENNIFER JIMENEZ
818 SW 3RD AVE # 221-4349
PORTLAND, OR 97204-2405
Phone number: 360-780-3921
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