1518103746

Everything you always wanted to know about JONES JOSH but were afraid to ask.

JONES JOSH

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Provider Last Name Provider First Name
JONES JOSH
Gender:
Male
Enumeration date:
2008-12-17
Last update date:
2008-12-17
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
101YM0800X Mental Health none none Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2082361600
Practice Location Address Telephone Number 2082361600
Mailing Address Fax Number 2082366695
Practice Location Address Fax Number 2082366695

Addresses

Type Address City State Postal Country
Mailing Address 2055 GARRETT WAY STE 1 POCATELLO ID 83201 ID
Practice Location Address 2055 GARRETT WAY STE 1 POCATELLO ID 83201 ID

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