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1023019494
MARILEEN ANN JACOBS
COEUR D ALENE, ID
NPI
1023019494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225000000X Orthotic Fitter
Enumeration Date
2005-08-09
Last Update Date
2007-07-08
Business Address
MRS. MARILEEN ANN JACOBS
1512 E GILBERT AVE
COEUR D ALENE, ID 83815-6216
Phone number: 208-664-4398
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Mailing Address
MRS. MARILEEN ANN JACOBS
1512 E GILBERT AVE
COEUR D ALENE, ID 83815-6216
Phone number: 208-664-4398
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