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1558713131
JACOB R FOSTER
POCATELLO, ID
NPI
1558713131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-07-07
Last Update Date
2021-08-06
Business Address
JACOB R FOSTER PA-C
110 VISTA DR
POCATELLO, ID 83201-5824
Phone number: 208-234-2300
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Mailing Address
JACOB R FOSTER PA-C
110 VISTA DR
POCATELLO, ID 83201-5824
Phone number: 208-234-2300
Copy
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