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1790810380
JONATHAN ERIC MAIN
MERIDIAN, ID
NPI
1790810380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID chia-991)
Enumeration Date
2007-02-22
Last Update Date
2010-12-20
Business Address
Dr. JONATHAN ERIC MAIN dc
2300 W EVEREST LN SUITE #175
MERIDIAN, ID 83646-5925
Phone number: 208-895-0858
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Mailing Address
Dr. JONATHAN ERIC MAIN dc
2300 W EVEREST LN SUITE #175
MERIDIAN, ID 83646-5925
Phone number: 208-895-0858
Copy
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