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1295443919
JACOB ELWIN SCHOFIELD
BOISE, ID
NPI
1295443919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-937)
Enumeration Date
2022-11-10
Last Update Date
2022-11-10
Business Address
JACOB ELWIN SCHOFIELD OT
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-810-9302
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Mailing Address
JACOB ELWIN SCHOFIELD OT
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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