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1407237043
JACOB KENT CHRISTENSEN
MOSCOW, ID
NPI
1407237043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: ID O-1305)
Enumeration Date
2015-06-09
Last Update Date
2024-07-19
Business Address
JACOB KENT CHRISTENSEN D.O.
2500 W A ST STE 101
MOSCOW, ID 83843-6000
Phone number: 208-882-0540
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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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