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Jody Mclaws
NPI 1235835083 · on the registry since 2023 · sole proprietor
Practice
- Address
- 989 N Shilling Ave
Blackfoot, ID 83221 - Phone
- (702) 576-7221
Registry record
- Primary taxonomy
- 342000000X
342000000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho