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1477302891
JACOB NGUYEN
MOSCOW, ID
NPI
1477302891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-17
Last Update Date
2024-05-28
Business Address
JACOB NGUYEN
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 208-885-6111
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Mailing Address
JACOB NGUYEN
1923 VANDAL DR APT C
MOSCOW, ID 83843-8549
Phone number: 208-409-1860
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