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1760726897
JEROD L HINES
EMMETT, ID
NPI
1760726897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: ID M-11820)
Enumeration Date
2012-11-15
Last Update Date
2023-05-13
Business Address
DR. JEROD L HINES M.D.
1202 E LOCUST ST
EMMETT, ID 83617-2715
Phone number: 208-365-3563
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Mailing Address
DR. JEROD L HINES M.D.
1060 W IDAHO BLVD
EMMETT, ID 83617-9644
Phone number: 208-954-1762
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