JACOB KENT CHRISTENSEN

MOSCOW, ID
NPI1407237043
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine Sports Medicine
(Licence: ID  O-1305)
Enumeration Date2015-06-09
Last Update Date2019-10-29
Business Address
JACOB KENT CHRISTENSEN D.O.
831 S ASH ST
MOSCOW, ID 83843
Phone number: 208-882-2011
Mailing Address
JACOB KENT CHRISTENSEN D.O.
623 S MAIN ST STE 1
MOSCOW, ID 83843-3042
Phone number: 208-882-2011
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