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1245542596
TIMOTHY ROBERT JESSOP
POCATELLO, ID
NPI
1245542596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-4308)
Enumeration Date
2010-07-01
Last Update Date
2010-07-01
Business Address
Dr. TIMOTHY ROBERT JESSOP DDS
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-6000
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Mailing Address
Dr. TIMOTHY ROBERT JESSOP DDS
2688 VIA VALDARNO
POCATELLO, ID 83201-5847
Phone number:
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