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1912292764
JASON KOMODA
NAMPA, ID
NPI
1912292764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P5939)
Enumeration Date
2011-06-09
Last Update Date
2011-06-09
Business Address
Mr. JASON KOMODA Rph
16300 N MARKET PLACE BLVD
NAMPA, ID 83687-7910
Phone number: 208-465-6801
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Mailing Address
Mr. JASON KOMODA Rph
16300 N MARKET PLACE BLVD T-2206
NAMPA, ID 83687-7910
Phone number: 208-465-6801
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