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1316072036
JACOB A GABRIELSEN
BOISE, ID
NPI
1316072036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT2186)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
-- JACOB A GABRIELSEN DPT
7550 W EMERALD ST STE 101
BOISE, ID 83704-9015
Phone number: 208-375-0666
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Mailing Address
-- JACOB A GABRIELSEN DPT
7550 W EMERALD ST STE 101
BOISE, ID 83704-9015
Phone number: 208-375-0666
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