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1508452491
DEBORAH JEAN JACOBY
BOISE, ID
NPI
1508452491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility Adult Care Home
Additional Taxonomies
251E00000X Home Health
Enumeration Date
2020-12-15
Last Update Date
2020-12-15
Business Address
DEBORAH JEAN JACOBY
115 W WILLOWAY DR
BOISE, ID 83705-5937
Phone number: 208-345-6625
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Mailing Address
DEBORAH JEAN JACOBY
3930 W PINE AVE
BOISE, ID 83703-4850
Phone number: 208-608-6114
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