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1629265442
JETHE ANN ABRAHAM
MERIDIAN, ID
NPI
1629265442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D-4270)
Enumeration Date
2007-09-25
Last Update Date
2010-05-20
Business Address
DR. JETHE ANN ABRAHAM D.D.S.
317 W CHERRY LN
MERIDIAN, ID 83642-1608
Phone number: 208-489-7077
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Mailing Address
DR. JETHE ANN ABRAHAM D.D.S.
890 W MELROSE ST
BOISE, ID 83706-4677
Phone number: 612-310-1997
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