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1952592404
JASON B DEVRIES
TWIN FALLS, ID
NPI
1952592404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: ID P-196)
Enumeration Date
2007-08-08
Last Update Date
2011-07-06
Business Address
-- JASON B DEVRIES DPM
191 ADDISON AVE
TWIN FALLS, ID 83301-5177
Phone number: 208-734-8441
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Mailing Address
-- JASON B DEVRIES DPM
PO BOX 16820
BOISE, ID 83715-6820
Phone number: 208-734-8441
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