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1629825823
JESSICA PACKER SMOOT
IDAHO FALLS, ID
NPI
1629825823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID 1861669)
Enumeration Date
2024-05-04
Last Update Date
2024-07-17
Business Address
JESSICA PACKER SMOOT PA
3820 CRESTWOOD LN
IDAHO FALLS, ID 83404-4979
Phone number: 208-552-7700
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Mailing Address
JESSICA PACKER SMOOT PA
1138 MONAGHAN CT
IDAHO FALLS, ID 83404-8309
Phone number: 208-313-6033
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