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1851885420
JORDAN CLAY CHAPMAN
POCATELLO, ID
NPI
1851885420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 58921)
Enumeration Date
2018-06-18
Last Update Date
2018-06-18
Business Address
JORDAN CLAY CHAPMAN NP
777 HOSPITAL WAY OFC BLDG
POCATELLO, ID 83201-2797
Phone number: 208-239-1960
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Mailing Address
JORDAN CLAY CHAPMAN NP
777 HOSPITAL WAY OFC BLDG
POCATELLO, ID 83201-2797
Phone number:
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