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1568138576
JACOB E TODD
BOISE, ID
NPI
1568138576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PT-7512)
Enumeration Date
2021-08-19
Last Update Date
2021-08-19
Business Address
JACOB E TODD PT, DPT
1435 S MAPLE GROVE RD
BOISE, ID 83709-1611
Phone number: 208-332-6200
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Mailing Address
JACOB E TODD PT, DPT
1714 2ND ST N
FARGO, ND 58102-2328
Phone number: 701-403-9853
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