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1295327096
CURTIS LESLIE JACOBSON
IDAHO FALLS, ID
NPI
1295327096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: ID PT-1675)
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
CURTIS LESLIE JACOBSON PT
3784 SUMMIT RUN TRL
IDAHO FALLS, ID 83404-8248
Phone number: 208-731-9896
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Mailing Address
CURTIS LESLIE JACOBSON PT
3784 SUMMIT RUN TRL
IDAHO FALLS, ID 83404-8248
Phone number: 208-731-9896
Copy
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