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1083759880
JACOB DELAROSA
POCATELLO, ID
NPI
1083759880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine Cardiovascular Disease
(Licence: ID M9019)
Enumeration Date
2007-02-20
Last Update Date
2014-03-19
Business Address
JACOB DELAROSA MD
651 MEMORIAL DR
POCATELLO, ID 83201-4071
Phone number: 208-239-1000
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Mailing Address
JACOB DELAROSA MD
777 HOSPITAL WAY STE 215
POCATELLO, ID 83201-5162
Phone number: 208-239-2580
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