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Jonas Dethman Valid NPI

Individual provider · Home Health Aide · Eagle, ID

NPI
1063184554
Type
Individual (Type 1)
Primary specialty
Home Health Aide
Specialty group
Nursing Service Related Providers
Taxonomy code
374U00000X
Sex
Male
Sole proprietor
Yes
Enumerated
2021-10-02
Last updated
2021-10-02
Practice location
239 Winged Foot Pl
Eagle, ID 83616-5265
(208) 473-0493

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