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1053045153
JACOB CHAMBERLAIN
BOISE, ID
NPI
1053045153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: ID 71945)
Enumeration Date
2022-07-13
Last Update Date
2022-07-13
Business Address
JACOB CHAMBERLAIN RN
500 W FORT ST
BOISE, ID 83702-4599
Phone number: 208-422-1000
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Mailing Address
JACOB CHAMBERLAIN RN
500 W FORT ST
BOISE, ID 83702-4599
Phone number: 208-422-1000
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