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1114257524
BETH ANNE JACOB
BOISE, ID
NPI
1114257524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2010-01-06
Last Update Date
2013-06-24
Business Address
Ms. BETH ANNE JACOB OTR/L
405 W MYRTLE ST
BOISE, ID 83702-7658
Phone number: 208-489-5880
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Mailing Address
Ms. BETH ANNE JACOB OTR/L
2820 N PAULEY DR
BOISE, ID 83704-6034
Phone number:
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