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1144376617
CHARLES A JACOBSON MD
MOSCOW, ID
NPI
1144376617
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Entity Type
Organization
Authorized Contact
CHARLES A JACOBSON
Owner
208-883-2828
Organization Subpart ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: ID M6567)
Enumeration Date
2007-01-26
Last Update Date
2014-08-19
Business Address
CHARLES A JACOBSON MD
2500 W A ST SUITE 201
MOSCOW, ID 83843-6000
Phone number: 208-883-2828
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Mailing Address
CHARLES A JACOBSON MD
2500 W A ST SUITE 201
MOSCOW, ID 83843-6000
Phone number: 208-883-2828
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