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1104328897
SHALLECE JACOBS
BOISE, ID
NPI
1104328897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174H00000X Health Educator
Enumeration Date
2018-03-08
Last Update Date
2018-03-08
Business Address
SHALLECE JACOBS
419 N 11TH ST
BOISE, ID 83702-5332
Phone number: 208-344-5502
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Mailing Address
SHALLECE JACOBS
1177 W STATE ST
BOISE, ID 83702-5346
Phone number: 208-344-5501
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