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1942355433
JULIE JORDAN
BOISE, ID
NPI
1942355433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-813)
Enumeration Date
2007-01-24
Last Update Date
2008-06-19
Business Address
-- JULIE JORDAN OT
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1368
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Mailing Address
-- JULIE JORDAN OT
2305 N 20TH ST
BOISE, ID 83702-0836
Phone number: 208-343-2130
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